Healthcare Provider Details

I. General information

NPI: 1558243733
Provider Name (Legal Business Name): ERIN MORRISON L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 NE KANE DR
GRESHAM OR
97030-4699
US

IV. Provider business mailing address

6823 SE CLATSOP ST
PORTLAND OR
97206-8710
US

V. Phone/Fax

Practice location:
  • Phone: 503-201-5342
  • Fax:
Mailing address:
  • Phone: 503-201-5342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: