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1639110331
KENNETH R. ERICKSON
CORVALLIS, OR
NPI
1639110331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD13119)
Enumeration Date
2006-06-10
Last Update Date
2013-04-08
Business Address
Dr. KENNETH R. ERICKSON M.D., PhD
3509 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5144
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Mailing Address
Dr. KENNETH R. ERICKSON M.D., PhD
3509 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5144
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