RUSSELL C ERICKSON

CLACKAMAS, OR
NPI1871591594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  6120)
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
Dr. RUSSELL C ERICKSON DDS
13530 SE 97TH AVE
CLACKAMAS, OR 97015-7691
Phone number: 503-353-1471
Mailing Address
Dr. RUSSELL C ERICKSON DDS
13530 SE 97TH AVE
CLACKAMAS, OR 97015-7691
Phone number: 503-353-1471
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