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Individual

JOHN C ERKKILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7325 NW SPRING CREEK DR, CORVALLIS, OR 97330-9794
(541) 745-5558
Mailing address
7325 NW SPRING CREEK DR, CORVALLIS, OR 97330-9794
(541) 745-5558

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD11554
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242867
OR
Enumeration date
05/08/2006
Last updated
10/04/2007
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