Provider Demographics
NPI:1518017961
Name:ERFLING, TRACY (ND)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:
Last Name:ERFLING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-6128
Mailing Address - Country:US
Mailing Address - Phone:503-440-6927
Mailing Address - Fax:503-325-9135
Practice Address - Street 1:2935 MARINE DR
Practice Address - Street 2:SUITE B
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-2831
Practice Address - Country:US
Practice Address - Phone:503-440-6927
Practice Address - Fax:503-325-9135
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1077175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath