Healthcare Provider Details

I. General information

NPI: 1609908615
Provider Name (Legal Business Name): ERICH C TREEBY N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 SW 1ST AVE
PORTLAND OR
97201-5003
US

IV. Provider business mailing address

4616 SE MILWAUKIE AVE APT 87
PORTLAND OR
97202-4768
US

V. Phone/Fax

Practice location:
  • Phone: 503-552-1551
  • Fax:
Mailing address:
  • Phone: 503-490-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1513
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: