Individual
DR. DANIEL ERICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-2402
(541) 222-2350
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD176442
OR
2080S0012X
Pediatric Sleep Medicine Physician
Primary
MD176442
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711175
—
OR
Enumeration date
06/17/2008
Last updated
02/05/2019
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