Erica Marie Pfau

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6185 Issued in OR

Practice address

2530 NW Medical Park Dr
Roseburg, OR 97471-5510

Phone

(541) 673-6511

NPI assigned

Apr 4, 2014

Last updated

Feb 20, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1831517945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715510",
            "telephone_number": "541-673-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974592329",
            "country_code": "US",
            "telephone_number": "888-468-0022",
            "fax_number": "541-516-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAU",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luana Ionela Petre Nedita, MD
• Sorin Petre, M.D.
• Aurora Petterson
• Alexus Pettibone
• Billie Jean Pettibone
• Tung Thanh Pham, PHARMD
• Michelle Noelle Phelps
• Keith A Phifer, RPH
• Philip Kaser Family, LLC (Harvard Avenue Drugs)
• Candice Phillips

• Dental Hygienist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.