Organization
ERICKSON LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA SUE ERICKSON OCULARIST (PRESIDENT - OWNER)
(206) 622-9175
Entity
Organization
Contact information
Practice address
509 OLIVE WAY, SUITE 1421, SEATTLE, WA 98101
(206) 622-9175
(206) 622-9378
Mailing address
509 OLIVE WAY, SUITE 1421, SEATTLE, WA 98101-1749
(206) 622-9175
(206) 622-9378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
601571019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111006
—
WA
Enumeration date
11/14/2008
Last updated
05/15/2018
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