Provider Demographics
NPI:1669739769
Name:OSTERHOLZER, ERIKA K (MD)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:K
Last Name:OSTERHOLZER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5135 SKYLINE RD S
Mailing Address - Street 2:DPT OF OPHTHALMOLOGY
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9427
Mailing Address - Country:US
Mailing Address - Phone:503-361-5400
Mailing Address - Fax:
Practice Address - Street 1:11730 ANDERSON ST.
Practice Address - Street 2:STE. 2025
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354
Practice Address - Country:US
Practice Address - Phone:909-558-2112
Practice Address - Fax:909-558-2180
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD.60745884207W00000X
CAA141465207W00000X
ORMD182037207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology