KEITH P. ERICKSON

MARYSVILLE, WA
NPI1225009061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: AZ  3034)
Enumeration Date2006-01-30
Last Update Date2021-05-18
Business Address
KEITH P. ERICKSON PA-C
11603 STATE AVE SUITE G
MARYSVILLE, WA 98271-8465
Phone number: 360-653-6500
Mailing Address
KEITH P. ERICKSON PA-C
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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