Individual
MR. TODD A. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 379-2250
Mailing address
8023 NE HIDDEN COVE RD, BAINBRIDGE ISLAND, WA 98110-1198
(206) 769-2077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217755
L&I PIN
WA
01
—
24081U
REGENCE PIN
WA
05
—
9651969
—
WA
Enumeration date
01/22/2007
Last updated
09/10/2009
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