Individual
DR. ERIKA MARIA MOSESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY STREET, SUIT, GOOD SAMARITAN BUILDING 1, PORTLAND, OR 97210
(503) 413-5702
Mailing address
2222 NW LOVEJOY STREET, SUIT, GOOD SAMARITAN BUILDING 1, PORTLAND, OR 97210
(503) 413-5702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110322
CA
207R00000X
Internal Medicine Physician
MD158312
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD158312
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD158312
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655289
—
OR
01
—
P01402384
RR MEDICARE - PHS
OR
Enumeration date
10/15/2009
Last updated
04/19/2023
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