Provider Demographics
NPI:1255545901
Name:PEIRSON, ERICA (ND)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:PEIRSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 W MARIGOLD ST UNIT 140611
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-2625
Mailing Address - Country:US
Mailing Address - Phone:503-209-9041
Mailing Address - Fax:503-894-6048
Practice Address - Street 1:8100 W MARIGOLD ST UNIT 140611
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:ID
Practice Address - Zip Code:83714-2625
Practice Address - Country:US
Practice Address - Phone:503-209-9041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1544175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath