MEDICARE: MS. ERIN OSHAUGHNESSY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT17670	CA

General Provider Information

NPI Number	:	1205947116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN OSHAUGHNESSY

Provider Business Mailing Address
First Line	:	23 NE WILLIAMS AVE
Second Line	:
City	:	DEPOE BAY
State	:	OR
Zip	:	97341-1979
Country	:	US
Telephone Number	:	831-917-2221
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 NE WILLIAMS AVE
Second Line	:
City	:	DEPOE BAY
State	:	OR
Zip	:	97341-1979
Country	:	US
Telephone Number	:	831-917-2221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/15/2025

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