Individual
DR. DINA H ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY, 2043 COLLEGE WAY, FOREST GROVE, OR 97116
(503) 352-3007
(503) 352-2929
Mailing address
PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY, 2043 COLLEGE WAY, FOREST GROVE, OR 97116
(503) 352-3007
(503) 352-2929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10327T
CA
152W00000X
Optometrist
Primary
4000ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208312
—
OR
Enumeration date
08/29/2006
Last updated
07/08/2007
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