Individual
ERICA LYN ESHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 E MEEKER ST, SUITE 200, KENT, WA 98030-5904
(253) 852-2866
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60097510
WA
207Q00000X
Family Medicine Physician
TL-2113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8543977
—
WA
01
—
G8883947
MEDICARE PTAN
—
01
—
P00920040
RAILROAD, MEDICARE
—
Enumeration date
10/17/2006
Last updated
10/07/2020
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