Individual
DR. JENNIFER MARIE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2505 2ND AVE, SUITE 200, SEATTLE, WA 98121-1452
(206) 443-0400
Mailing address
PO BOX 50095, SEATTLE, WA 98195-6560
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
OP 60621645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023309473
—
WA
Enumeration date
04/20/2011
Last updated
08/29/2016
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