Individual
MR. JOSEPH DAVID ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 545-1222
Mailing address
2103 W BURNSIDE ST, PORTLAND, OR 97210-3519
(503) 545-1222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011809
OR
Other
Enumeration date
04/15/2010
Last updated
12/09/2011
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