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NPI Code Detail

MEDICARE: ERIN SEIDMAN ALLAN MFT ASSOCIATE

MEDICARE: ERIN SEIDMAN ALLAN MFT ASSOCIATE
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
1106H00000XMarriage & Family TherapistR9709OR
2106H00000XMarriage & Family Therapist49741CA

General Provider Information

NPI Number : 1285790055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN SEIDMAN ALLAN MFT ASSOCIATE
Provider Business Mailing Address
First Line : 5441 S MACADAM AVE STE R
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3822
Country : US
Telephone Number : 202-213-0398
Fax Number :
Provider Business Practice Location Address
First Line : 11740 SW 68TH PKWY STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-9058
Country : US
Telephone Number : 971-258-0473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 12/23/2025

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Directions to “ ERIN SEIDMAN ALLAN MFT ASSOCIATE” Practice Location

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