Healthcare Provider Details

I. General information

NPI: 1962223016
Provider Name (Legal Business Name): ERICA ANNE ALLENDER VALENCIA APRN, CRNA, DNAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10180 SE SUNNYSIDE RD
CLACKAMAS OR
97015-8970
US

IV. Provider business mailing address

586 N HOLLY ST
CANBY OR
97013-3014
US

V. Phone/Fax

Practice location:
  • Phone: 502-813-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10034251
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: