Individual
DR. IAN K. EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NW 14TH AVE, SUITE 300, PORTLAND, OR 97209-2601
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD17584
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035753
—
OR
05
—
8134116
—
WA
05
—
MD584OR
—
AK
Enumeration date
02/17/2006
Last updated
10/15/2007
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