Healthcare Provider Details

I. General information

NPI: 1245281237
Provider Name (Legal Business Name): BARBARA JEAN ERSKINE M.S.CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 07/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 NE 7TH AVE SUITE C248
VANCOUVER WA
98685-4523
US

IV. Provider business mailing address

012 SW BOUNDARY ST
PORTLAND OR
97239-3957
US

V. Phone/Fax

Practice location:
  • Phone: 360-573-7313
  • Fax: 360-573-0277
Mailing address:
  • Phone: 503-295-1963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL00001254
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: