Individual
ELISE N ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201050086NP
OR
367A00000X
Advanced Practice Midwife
Primary
201050086NP
OR
Other
Enumeration date
03/05/2007
Last updated
06/20/2012
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