Stephan Timothy Erat B.A.

NPI 1417130790 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1417130790
Gender Male
Enumeration Date 12/10/2007
Last Updated 12/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 233-4356
Fax
Business Location
1426 SE 25TH AVE
#4
PORTLAND OR, 97214-3966, US
Phone
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Stephan Timothy Erat B.A. NPI is 1417130790, taxonomy code is 171M00000X Stephan Timothy Erat B.A. physically located at 1500 Ne Irving St, Portland OR, 97232-2243. NPI Number Stephan Timothy Erat B.A. has the Individual type.

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1417130790 NPI number is provided on an as is basis without warranty of any kind. 1417130790 is maintained by the National Plan & Provider Enumeration System. The contents of Stephan Timothy Erat B.A. are for informational purposes only.