Individual
DR. ERIK STEPHEN STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3485 SW BOND AVE FL 9, PORTLAND, OR 97239-4503
(503) 494-4673
Mailing address
6302 STONECROFT CT, ROANOKE, VA 24018-7604
(757) 778-5461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102201445
VA
2085R0202X
Diagnostic Radiology Physician
DO195635
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10060206
SENTARA
VA
01
—
139178
BCBS
VA
01
—
1801869789
VA PREMIER HEALTH PLAN
VA
05
—
1801869789
—
VA
05
—
5907239
—
NC
01
—
P00844141
RAILROAD MEDICARE
VA
Enumeration date
02/09/2006
Last updated
01/14/2020
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