Tara Ericksen is a Portland, Oregon based nurse practitioner with 7 years of experience in Psych/Mental Health. She completed her graduation in 2018. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Tara Ericksen is 202105081 for Psych/Mental Health in Oregon. Her current practice location is 4224 Ne Halsey St Ste 335, Portland. Patients can reach her at 503-922-6616. Tara Ericksen is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1780157115. Tara Ericksen provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Tara Ericksen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Tara Ericksen
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Accepts Medicare Assignment:
May Accept
Practice Address:
4224 Ne Halsey St Ste 335, Portland, Oregon, 97213-1568
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406187657
Enrollment ID:
I20191018002716
NPI Number:
1780157115
NPI Enumeration Date:
08 Jan, 2019
NPI Last Update On:
18 Apr, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Ericksen are as mentioned below.
License Number
Specialization
State
Status
202105081
Psych/Mental Health
Oregon
Primary
NP95010525
Women Health
California
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Tara Ericksen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ocean Psychiatry Inc (6305277633)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Tara Ericksen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP95010525
Other
California
NURSE PRACTITIONER AND FURNISHING LICENSE
202105081
Other
Oregon
NURSE PRACTITIONER LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tara Ericksen 6944 Se Stark St, Portland, Oregon
Zip:
97215-2153
Phone Number:
503-997-2222
Patients can reach Tara Ericksen at 4224 Ne Halsey St Ste 335, Portland, Oregon or can call to book an appointment on 503-922-6616.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.