Basic Information
Provider Information
NPI: 1750437042
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OEHLER
FirstName: ERIN
MiddleName: STORY
NamePrefix:  
NameSuffix:  
Credential: M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1959 NE PACIFIC ST BOX 356159
Address2:  
City: SEATTLE
State: WA
PostalCode: 981956159
CountryCode: US
TelephoneNumber: 2065984070
FaxNumber: 2065982359
Practice Location
Address1: 1959 NE PACIFIC STREET
Address2:  
City: SEATTLE
State: WA
PostalCode: 981956159
CountryCode: US
TelephoneNumber: 2065984070
FaxNumber: 2065982359
Other Information
ProviderEnumerationDate: 01/27/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X MDN Other Service ProvidersGenetic Counselor, MS 
170300000XGT60496590WAY Other Service ProvidersGenetic Counselor, MS 

No ID Information.


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