Most Relevant Information
Provider Data
| NPI Number: | 1003501842 |
| Provider Name: | ERICA RYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2023 |
| Last Updated: | 04/07/2023 |
Provider Practice Location
6200 SW ARCTIC DR
BEAVERTON
OR
970059447
Practice Location Phone/Fax
| Phone: | 5036861786 |
| Fax: |
Provider Mailing Location
6200 SW ARCTIC DR
BEAVERTON
OR
970059447
Provider Mailing Phone/Fax
| Phone: | 5036861786 |
| Fax: |