Individual
REBECCA SUE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCULARIST
Contact information
Practice address
509 OLIVE WAY, SUITE 1421, SEATTLE, WA 98101-1749
(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
156FX1700X
Ocularist
Primary
OS 00000016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9111006
—
WA
Enumeration date
12/04/2006
Last updated
06/07/2012
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