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1043579477
MARK ERICKSON
PORTLAND, OR
NPI
1043579477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor Sports Physician
(Licence: OR 5053)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
DR. MARK ERICKSON D.C., M.SC
625 NW 17TH AVE
PORTLAND, OR 97209-2209
Phone number: 503-924-6535
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Mailing Address
DR. MARK ERICKSON D.C., M.SC
625 NW 17TH AVE
PORTLAND, OR 97209
Phone number:
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