Individual
ERIK MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
1101 N 16TH AVE STE 7, YAKIMA, WA 98902-1300
(509) 941-5191
(509) 834-7414
Mailing address
1101 N 16TH AVE STE 7, YAKIMA, WA 98902-1300
(509) 941-5191
(509) 834-7414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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