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Organization
CASCADE FAMILY PRACTICE
Active
Organization
CASCADE FAMILY PRACTICE
Active
Other names
Carl M Erickson, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL M ERICKSON D.O. (FAMILY PRACTICE)
(503) 233-5273
Entity
Organization
Contact information
Practice address
7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
(503) 233-5273
(503) 236-2796
Mailing address
7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
(503) 233-5273
(503) 236-2796
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
DO12690
OR
207Q00000X
Family Medicine Physician
Primary
DO12690
OR
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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