Provider Demographics
NPI:1679340434
Name:BIGLEY, ERICA LYNN
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:BIGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:BRANSTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12655 SW CENTER ST STE 221
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-4769
Mailing Address - Country:US
Mailing Address - Phone:971-246-5970
Mailing Address - Fax:503-213-7670
Practice Address - Street 1:12655 SW CENTER ST STE 221
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4769
Practice Address - Country:US
Practice Address - Phone:971-246-5970
Practice Address - Fax:503-213-7670
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health