Individual
DR. KENNETH R. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-5144
(541) 768-5201
Mailing address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-5144
(541) 768-5201
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13119
OR
Other
Enumeration date
06/10/2006
Last updated
04/08/2013
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