Individual
JASON VANG-ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BSN, PP-NP
Contact information
Practice address
35859 HIGHWAY 58, PLEASANT HILL, OR 97455-9651
(541) 767-5200
(541) 937-1370
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10290
MN
363LF0000X
Family Nurse Practitioner
Primary
201905929
OR
363LF0000X
Family Nurse Practitioner
F06191484
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500772427
—
OR
Enumeration date
03/23/2019
Last updated
07/23/2025
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