Provider Demographics
NPI:1336829787
Name:MAGHIE, ERIN LEIGH (OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:MAGHIE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LEIGH
Other - Last Name:GUMBINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3309 N MISSISSIPPI AVE APT 239
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-2067
Mailing Address - Country:US
Mailing Address - Phone:562-599-9930
Mailing Address - Fax:
Practice Address - Street 1:7409 NE HAZEL DELL AVE STE 112
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8337
Practice Address - Country:US
Practice Address - Phone:360-597-4048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61458307225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist