Individual
CARL O ERIKSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-1544
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-1544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231129
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD153843
OR
Other
Enumeration date
04/06/2007
Last updated
08/04/2011
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