Individual provider · Type 1 NPI

Erica Ruth Bolliger, SEP, LMT, FNTP, MDIV

Mental Health Counselor · Portland, OR

NPI number 1861144719 Active

Practice location

2800 NE 70th Ave
Portland, OR 97213-5908

Call (503) 236-9618 Map

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XNone listed
Massage Therapist 225700000X5579 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861144719

Erica Ruth Bolliger, SEP, LMT, FNTP, MDIV's National Provider Identifier is 1861144719, issued on Jan 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 11, 2022.