NPI 1033749825
Erica D. Prince, PHD, LLC
Practice location
- Address
- 2945 NW Mulkey Ave, Corvallis, OR 97330-1836
- Phone
- (541) 753-8684
- Fax
- (541) 752-0906
Authorised official
- Name
- Erica D Prince
- Title
- Chairman
- Phone
- (541) 753-8684
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1033749825
- Entity type
- Organization
- NPI issued
- 21 Jan 2020
- Record last updated
- 21 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.