Mr Timothy A Ericson, FNP | |
1475 Mt Hood Ave., Woodburn, OR 97071 | |
(503) 982-2174 | |
(503) 982-4599 |
Full Name | Mr Timothy A Ericson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1475 Mt Hood Ave., Woodburn, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376836981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP 20561 (California) | Secondary |
363L00000X | Nurse Practitioner | 201394165NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Silverton Medical Center | Silverton, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Silverton Health | 8921901877 | 104 |
Entity Name | Silverton Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy A Ericson, FNP Po Box 278, Woodburn, OR 97071-0278 Ph: (971) 983-5260 | Mr Timothy A Ericson, FNP 1475 Mt Hood Ave., Woodburn, OR 97071 Ph: (503) 982-2174 |
Lisa Schlegel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2000 Fax: 503-982-0660 | |
Alfonso Capuras, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 503-982-2174 Fax: 503-982-4599 | |
Jennifer Marie Federico, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Arney Rd Ste 130, Woodburn, OR 97071 Phone: 503-902-3900 | |
Joel Roberts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Arney Rd Ste 130, Woodburn, OR 97071 Phone: 503-902-3900 | |
Mary M Tippin, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Mt. Hood Avenue, Woodburn, OR 97071 Phone: 971-983-5252 Fax: 971-983-5253 | |
Li Chang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-981-0423 |