Active NPI
Erin R Molstad, PT
- Physical Therapist
- Lake Oswego, OR
National Provider Identifier
1487134193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61060
- Practice address
- 4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035 - Phone
- (503) 216-1500
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61060 | OR | Primary |
Addresses
Primary practice location
4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
18040 SW Lower Boones Ferry Rd Ste 200
Tigard, OR 97224-7259
Phone (503) 216-0680
Other practice location 2
18040 SW Lower Boones Ferry Rd Ste 200
Tigard, OR 97224-7259
Phone (503) 216-0680
Other names 1
- Erin R Good
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61060 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1487134193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 KRUSE WAY PL STE 300",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-216-1500"
}
],
"practiceLocations": [
{
"address_1": "18040 SW Lower Boones Ferry Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972247259",
"country_code": "US",
"telephone_number": "503-216-0680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18040 SW Lower Boones Ferry Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972247259",
"country_code": "US",
"telephone_number": "503-216-0680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLSTAD",
"first_name": "ERIN",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "GOOD",
"middle_name": "R",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.