Individual
ERIC LAWRENCE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-3376
Mailing address
4228 SW WASHOUGA AVE, PORTLAND, OR 97239-1375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD23920
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286946
—
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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