SearchWashington174400000X

Koreen Ericks, LMP

NPI 1750510632 · on the registry since 2009 · sole proprietor

Practice

Address
610 4th Ave E
Olympia, WA 98501
Phone
(360) 791-1377

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington