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Organization

ERICKSON'S INC

Active
Other names
Ericksons
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA D ERICKSON (PRESIDENT)
(509) 747-6148
Entity
Organization

Contact information

Practice address
421 W RIVERSIDE AVE STE 770, SPOKANE, WA 99201-0402
(509) 747-6148
(509) 638-6705
Mailing address
421 W RIVERSIDE AVE STE 770, SPOKANE, WA 99201-0402
(509) 747-6148
(509) 638-6705

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
OS 00000010
WA
332B00000X
Durable Medical Equipment & Medical Supplies
328043554
WA
335E00000X
Prosthetic/Orthotic Supplier
Primary
328043554
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137000
ID
05
153267
OR
05
566943
MT
05
9028838
WA
Enumeration date
12/04/2007
Last updated
04/13/2021
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