Erica Lynn Idso, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2208 Issued in MN

Practice address

19 Myrtle St
Medford, OR 97504-7337

Phone

(541) 773-3863

Fax

(541) 776-2892

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1407111925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047136",
            "telephone_number": "541-842-7704",
            "fax_number": "541-842-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MYRTLE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047337",
            "telephone_number": "541-773-3863",
            "fax_number": "541-776-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDSO",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Curtis Hyde, R.PH.
• Joshua P. Hyde, CRM
• Sarah R Hyman, RN
• Ideal Option, PLLC
• Ideal Option, PLLC
• Jon David Igelman, MD
• Pauline Igo
• Violeta Iguchi, CADC I, LPC, QMHP
• Nicole A Iida, DDS
• Sundus Ikram, MD

• Marriage & Family Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.