Organization
CASCADE FAMILY PRACTICE LLC
Active
Other names
Cascade Family Practice LLC, Cascade Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MICHAEL ERICKSON DO (OWNER)
(503) 233-5273
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 233-5273
(855) 492-8902
Mailing address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 233-5273
(855) 492-8902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22663-9
—
OR
Enumeration date
04/07/2022
Last updated
05/11/2022
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