Individual
MRS. CHRISTINE JOY ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNP
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-6862
(503) 413-2879
Mailing address
8675 SW GARDEN HOME RD, PORTLAND, OR 97223-7354
(608) 234-7928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
097006506
OR
163W00000X
Registered Nurse
139367-030
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
201603909NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
2297-033
WI
Other
Enumeration date
09/03/2008
Last updated
08/29/2021
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