Provider Demographics
NPI:1447682596
Name:ERVEN, ERIN MICHELLE (DPT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MICHELLE
Last Name:ERVEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:732 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PHILOMATH
Mailing Address - State:OR
Mailing Address - Zip Code:97370-9725
Mailing Address - Country:US
Mailing Address - Phone:541-928-1411
Mailing Address - Fax:541-928-7044
Practice Address - Street 1:2101 NW PROFESSIONAL DR
Practice Address - Street 2:SUITE #2
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3888
Practice Address - Country:US
Practice Address - Phone:541-752-0545
Practice Address - Fax:541-757-0545
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist