Individual
MICHAEL KENT ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9155 SW BARNES ROAD, PORTLAND, OR 97225
(503) 296-7800
(503) 291-1584
Mailing address
9155 SW BARNES ROAD, SUITE 840, PORTLAND, OR 97225
(503) 691-5770
(503) 291-1584
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21148
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151337
—
OR
Enumeration date
07/17/2006
Last updated
07/21/2022
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