Provider Demographics
NPI:1285790055
Name:ALLAN, ERIN SEIDMAN (MFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:SEIDMAN
Last Name:ALLAN
Suffix:
Gender:F
Credentials:MFT ASSOCIATE
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:BARBARA
Other - Last Name:SEIDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT INTERN
Mailing Address - Street 1:3635 211TH PL NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-9345
Mailing Address - Country:US
Mailing Address - Phone:202-213-0398
Mailing Address - Fax:
Practice Address - Street 1:1390 OAK ST STE 3
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3567
Practice Address - Country:US
Practice Address - Phone:202-213-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49741106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist