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Individual

PATRICK ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 233-5273
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
(503) 473-1751

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102206703
VA
207Q00000X
Family Medicine Physician
Primary
DO208658
OR

Other

Enumeration date
03/10/2017
Last updated
03/25/2024
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