Individual
CHERI ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR, STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1872
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376097857
—
ME
Enumeration date
08/12/2016
Last updated
09/09/2021
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