Individual
ERIC BLAINE KIRKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD STE 593, PORTLAND, OR 97225-6640
(503) 216-8670
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD28124
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218623
—
OR
Enumeration date
10/11/2006
Last updated
02/15/2021
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