Individual
MARK S ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61104420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165707
—
WA
Enumeration date
10/03/2020
Last updated
08/25/2022
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