Provider Demographics
NPI:1700298510
Name:O'LEARY, ERIKA CLAIRE (DC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:CLAIRE
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 WHEATON WAY STE B
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4459
Mailing Address - Country:US
Mailing Address - Phone:360-499-6309
Mailing Address - Fax:
Practice Address - Street 1:1100 WHEATON WAY STE B
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4459
Practice Address - Country:US
Practice Address - Phone:360-499-6309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60456517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor