Provider Demographics
NPI:1700161536
Name:EHRMAN, NATALIE JEAN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JEAN
Last Name:EHRMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6647 SE MILWAUKIE AVE STE B210
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-5661
Mailing Address - Country:US
Mailing Address - Phone:971-258-2120
Mailing Address - Fax:971-200-2719
Practice Address - Street 1:6647 SE MILWAUKIE AVE STE B210
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5661
Practice Address - Country:US
Practice Address - Phone:971-258-2120
Practice Address - Fax:971-200-2719
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL73221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR15825280OtherCAQH