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NPI Code Detail

MEDICARE: ERICA M SHARP

MEDICARE: ERICA M SHARP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1417802513
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA M SHARP
Provider Business Mailing Address
First Line : 408 N CAMMANN ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-3402
Country : US
Telephone Number : 541-294-4879
Fax Number :
Provider Business Practice Location Address
First Line : 281 LACLAIR ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2988
Country : US
Telephone Number : 541-222-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ERICA M SHARP ” Practice Location

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