Individual
ERIC MIKKONEN NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 NE 87TH AVE STE 310, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1748
Mailing address
3738 NE HOLMAN ST, PORTLAND, OR 97211-7829
(612) 432-1980
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD60739928
WA
Other
Enumeration date
03/28/2010
Last updated
05/02/2024
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