Individual provider · Type 1 NPI

Tara Ericksen, NP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1780157115 Active

Practice location

4224 NE Halsey St Ste 335
Portland, OR 97213-1568

Mailing address

6944 SE Stark St
Portland, OR 97215-2153

Other practice locations

  • 920 Happy Valley Rd, Pleasanton, CA 94566-9742 · (925) 404-9327
  • 52 Dore St, San Francisco, CA 94103-3828 · (415) 553-3100
  • 5925 W Las Positas Blvd Ste 100, Pleasanton, CA 94588-8537 · (925) 462-1755

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202105081 (OR)
Women's Health Nurse Practitioner 363LW0102XNP95010525 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1780157115

Tara Ericksen, NP's National Provider Identifier is 1780157115, issued on Jan 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Apr 18, 2024.