Provider Demographics
NPI:1790238780
Name:SALAZAR, ERIKA (LPN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:HELLICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1470 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1366
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1470 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1366
Practice Address - Country:US
Practice Address - Phone:541-504-9577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201508604LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse