Healthcare Provider Details

I. General information

NPI: 1336656297
Provider Name (Legal Business Name): ERIN OELKLAUS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2018
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E 18TH AVE
EUGENE OR
97403-1354
US

IV. Provider business mailing address

901 E 18TH AVE
EUGENE OR
97403-1354
US

V. Phone/Fax

Practice location:
  • Phone: 541-346-3575
  • Fax: 541-346-5844
Mailing address:
  • Phone: 541-346-3575
  • Fax: 541-346-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number3143
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number63627
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: