Individual
ERIK G BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2475
(503) 375-7454
Mailing address
2020 CAPITOL ST NE, PO BOX 8100, SALEM, OR 97301-0644
(503) 399-2475
(503) 375-7454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135580
LABOR&INDUSTRIES PROV #
WA
01
—
5542BA
REGENCE B/S PROV #
WA
Enumeration date
08/31/2006
Last updated
11/30/2009
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