KENDA ERICKSON (NPI# 1831646892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831646892 |
| Entity Type | Individual |
| Full Name | KENDA ERICKSON |
| Credential | MC, MAC, CDP |
| Practice Address |
1308 Boalch Ave Nw North Bend WA 98045-8908 |
| Mailing Address |
Po Box 2371 North Bend WA 98045-2371 |
| Practice Telephone | 4253632020 |
| Practice Fax Number | 4258315428 |
| Mailing Telephone | 4253632020 |
| Mailing Fax Number | 4258315428 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00006317 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1308 BOALCH AVE NW |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045-8908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518276419 | Snoqualmie Indian Tribe | Clinic/Center | 1308 Boalch Ave Nw, North Bend, WA 98045-8908 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1548629116 | Laura Rae Fortune | Counselor | 400 Virginia Ave #201, North Bend, OR 97459-2709 | 2016-02-11 |
| 1710316807 | Megan Schweppenheiser | Counselor | 17206 435th Ave Se, North Bend, WA 98045-9659 | 2013-11-08 |
| 1417256389 | James Darrel Morley | Counselor | 1309 Bendigo Blvd N, North Bend, WA 98045-8945 | 2011-03-17 |
| 1346544277 | Ariana Renee Mofran | Counselor | 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 | 2011-01-06 |
| 1376646711 | Noreen Knapp | Counselor | 400 Virginia Ave Ste 201, North Bend, OR 97459-3444 | 2006-09-07 |
| 1710517826 | Sarah Lynne Acuna | Counselor | 400 Virginia Ave Ste 201, North Bend, OR 97459-3444 | 2020-01-17 |
| 1629618079 | Bryanna A Health | Counselor | 400 Virginia Ave Ste 201, North Bend, OR 97459-3444 | 2020-01-14 |
| 1649751637 | Jeannie V Bowers | Counselor | 401 Ballarat Ave N, North Bend, WA 98045-8191 | 2018-08-27 |
| 1497248025 | Adapt | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459-3477 | 2018-06-08 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
Please comment or provide details below to improve the information on KENDA ERICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.