Individual
ERIK R VANDERLIP
Active
Individual
ERIK R VANDERLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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