Individual
ERIK R VANDERLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 DOVER WAY, LAKE OSWEGO, OR 97034-7361
(319) 512-9782
Mailing address
8 DOVER WAY STE 600, LAKE OSWEGO, OR 97034-7361
(319) 512-9782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
179396
OR
2084P0800X
Psychiatry Physician
Primary
179396
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294142
L&I
WA
05
—
1306044524
—
WA
05
—
200538200A
—
OK
Enumeration date
07/10/2007
Last updated
07/04/2025
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