Individual
DR. GRAHAM BARCLAY ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 500, PORTLAND, OR 97205-2732
(503) 224-2323
(503) 352-2523
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-3197
(503) 352-2929
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2191T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208312
—
OR
Enumeration date
08/18/2006
Last updated
07/09/2007
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