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NPI Code Detail

MEDICARE: MR. ERIK MORALES LOCSON O.T.R./L.

MEDICARE: MR. ERIK MORALES LOCSON O.T.R./L.
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
1225X00000XOccupational TherapistOT00004501WA
2225X00000XOccupational Therapist1077255OR

General Provider Information

NPI Number : 1588997993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIK MORALES LOCSON O.T.R./L.
Provider Business Mailing Address
First Line : 4157 NW HIGHWAY 101
Second Line : STE 134 PMB 108
City : LINCOLN CITY
State : OR
Zip : 97367-5172
Country : US
Telephone Number : 503-686-4673
Fax Number :
Provider Business Practice Location Address
First Line : 4157 NW HIGHWAY 101
Second Line : STE 134 PMB 108
City : LINCOLN CITY
State : OR
Zip : 97367-5172
Country : US
Telephone Number : 503-686-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 09/16/2009

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