# CASCADE FAMILY PRACTICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Carl M Erickson, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881990570
- **Authorized official:** DR. CARL M ERICKSON D.O. (FAMILY PRACTICE)
- **Authorized official phone:** (503) 233-5273

## Contact information

- **Practice address:** 7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
- **Practice address phone:** (503) 233-5273
- **Practice address fax:** (503) 236-2796
- **Mailing address:** 7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
- **Mailing address phone:** (503) 233-5273
- **Mailing address fax:** (503) 236-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | DO12690 | OR | — |
| 207Q00000X | Family Medicine Physician | DO12690 | OR | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011