Healthcare Provider Details

I. General information

NPI: 1740897644
Provider Name (Legal Business Name): ERIKA MARIA BAHLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W C ST
SILVERTON OR
97381-1458
US

IV. Provider business mailing address

111 W C ST
SILVERTON OR
97381-1458
US

V. Phone/Fax

Practice location:
  • Phone: 503-874-4747
  • Fax: 503-874-4638
Mailing address:
  • Phone: 503-874-4747
  • Fax: 503-874-4638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN61042045
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN277015
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: