| Ken R Erickson, M.d. | |
|
6950 Sw Hampton St Ste 316 Tigard OR 97223-8332 | |
| (503) 313-9020 | |
| (503) 620-8119 |
| Full Name | Ken R Erickson, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6950 Sw Hampton St Ste 316, Tigard, Oregon |
| Authorized Official Name and Position | Ken R Erickson (PHYSICIAN) |
| Authorized Official Contact | 5033139020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken R Erickson, M.d. 6950 Sw Hampton St Ste 316 Tigard OR 97223-8332 Ph: (503) 313-9020 | Ken R Erickson, M.d. 6950 Sw Hampton St Ste 316 Tigard OR 97223-8332 Ph: (503) 313-9020 |
| NPI Number | 1134405814 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134405814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13119 (Oregon) | Primary |
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