Provider Demographics
NPI:1962019661
Name:VORIS, ERIKA LINN (SUDP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LINN
Last Name:VORIS
Suffix:
Gender:F
Credentials:SUDP
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LINN VORIS
Other - Last Name:STANDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22205 64TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2517
Mailing Address - Country:US
Mailing Address - Phone:425-673-2834
Mailing Address - Fax:
Practice Address - Street 1:1116 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2831
Practice Address - Country:US
Practice Address - Phone:206-323-0930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00002828101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)