Individual
MARY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ENP, FNP
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 213-8195
Mailing address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 213-8195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
E06230009
OR
Other
Enumeration date
06/21/2023
Last updated
05/14/2024
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