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NPI Code Detail

MEDICARE: ERIKA BRANCH

MEDICARE:   ERIKA  BRANCH
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
1101YP2500XProfessional CounselorC9810OR

General Provider Information

NPI Number : 1770964942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA BRANCH
Provider Business Mailing Address
First Line : 5555 ANGLE DR NE
Second Line :
City : SALEM
State : OR
Zip : 97317-2202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 960 LIBERTY ST SE STE 120
Second Line :
City : SALEM
State : OR
Zip : 97302-4165
Country : US
Telephone Number : 503-588-2804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2015
Last Update Date : 02/11/2026

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Directions to “ ERIKA BRANCH ” Practice Location

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