Provider Demographics
NPI:1205947116
Name:OSHAUGHNESSY, ERIN
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:OSHAUGHNESSY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 NE WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:DEPOE BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97341-1979
Mailing Address - Country:US
Mailing Address - Phone:831-917-2221
Mailing Address - Fax:
Practice Address - Street 1:23 NE WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-1979
Practice Address - Country:US
Practice Address - Phone:831-917-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT17670106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist