Individual
ROBERT TIMOTHY ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3192 GLEN CANYON RD, SCOTTS VALLEY, CA 95066-4916
(831) 226-1214
Mailing address
3192 GLEN CANYON RD, SCOTTS VALLEY, CA 95066-4916
(831) 226-1214
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95139605
CA
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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