Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OP61057908 | WA |
N | 111NI0900X | Internist | OP61057908 | WA |
N | 207RH0000X | Hematologist | OP61057908 | WA |
N | 207RH0003X | Hematology & Oncology | 51888 | SC |
Y | 207RX0202X | Medical Oncology | OP61057908 | WA |
NPI | 1437404571 |
---|---|
Provider Name | Katerina A Erokhina |
First Address | Myrtle Beach, SC 29572-4128 |
Second Address | Vancouver, WA 98664-1965 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2012 |
Last Update Date | 16/07/2020 |