Organization
CASCADE FAMILY PRACTICE
Active
Other names
Carl M Erickson, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL M ERICKSON D.O. (FAMILY PRACTICE)
(503) 233-5273
Entity
Organization
Contact information
Practice address
7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
(503) 233-5273
(503) 236-2796
Mailing address
7215 SE MILWAUKIE AVE, PORTLAND, OR 97202-6103
(503) 233-5273
(503) 236-2796
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
DO12690
OR
207Q00000X
Family Medicine Physician
Primary
DO12690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226639
—
OR
Enumeration date
01/28/2011
Last updated
01/28/2011
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