Provider Demographics
NPI:1801993233
Name:OBERG, ERICA (ND MPH)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:OBERG
Suffix:
Gender:F
Credentials:ND MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 BROADWAY
Mailing Address - Street 2:STE 301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122
Mailing Address - Country:US
Mailing Address - Phone:206-726-0034
Mailing Address - Fax:206-726-9434
Practice Address - Street 1:875 PROSPECT ST STE 302
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4264
Practice Address - Country:US
Practice Address - Phone:858-215-4935
Practice Address - Fax:206-726-9434
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001220175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath