Individual
DR. JAY C. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7947
Mailing address
1608 S J ST FL 5, TACOMA, WA 98405-4930
(253) 274-7505
(253) 274-7947
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01052312A
IN
2084N0400X
Neurology Physician
Primary
MD60823049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052312A
MEDICAL LICENSE
IN
05
—
2116964
—
WA
Enumeration date
02/08/2006
Last updated
03/07/2023
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