Healthcare Provider Details

I. General information

NPI: 1750528055
Provider Name (Legal Business Name): ERYKA L. SIMONSON, D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 AUSTIN ST STE B
KLAMATH FALLS OR
97603-5404
US

IV. Provider business mailing address

1903 AUSTIN ST STE B
KLAMATH FALLS OR
97603-5404
US

V. Phone/Fax

Practice location:
  • Phone: 541-850-8577
  • Fax: 541-850-5821
Mailing address:
  • Phone: 541-850-8577
  • Fax: 541-850-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3474
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DR. ERYKA LYNN SIMONSON
Title or Position: PRESIDENT
Credential: D.C.
Phone: 541-850-8577