Organization
KEN R ERICKSON, M.D.
Active
Organization
KEN R ERICKSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN R ERICKSON M.D. (PHYSICIAN)
(503) 313-9020
Entity
Organization
Contact information
Practice address
6950 SW HAMPTON ST STE 316, TIGARD, OR 97223-8332
(503) 313-9020
(503) 620-8119
Mailing address
6950 SW HAMPTON ST STE 316, TIGARD, OR 97223-8332
(503) 313-9020
(503) 620-8119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13119
OR
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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