Basic Information
| Provider Information | |||||||||
| NPI: | 1336656297 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OELKLAUS | ||||||||
| FirstName: | ERIN | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 E 18TH AVE | ||||||||
| Address2: | |||||||||
| City: | EUGENE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974031354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413463575 | ||||||||
| FaxNumber: | 5413465844 | ||||||||
| Practice Location | |||||||||
| Address1: | 901 E 18TH AVE | ||||||||
| Address2: | |||||||||
| City: | EUGENE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974031354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413463575 | ||||||||
| FaxNumber: | 5413465844 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/01/2018 | ||||||||
| LastUpdateDate: | 08/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | WA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251P0200X | 3143 | NV | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | 225100000X | 63627 | OR | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.