Individual
ERIK EGSIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216
(503) 252-2004
Mailing address
PO BOX 5275, PORTLAND, OR 97208-5275
(888) 828-3196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036105779
IL
207P00000X
Emergency Medicine Physician
115510
MO
207P00000X
Emergency Medicine Physician
62652
AZ
207P00000X
Emergency Medicine Physician
C156675
CA
207P00000X
Emergency Medicine Physician
MD24200
OR
207P00000X
Emergency Medicine Physician
MD60811852
WA
207P00000X
Emergency Medicine Physician
ME172110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208976
WA L & I
—
05
—
226893
—
OR
05
—
8352023
—
WA
01
—
858543012
REGENCE BC/BS
—
01
—
P00232008
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
02/11/2025
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