| NPI | 1881990570 |
|---|---|
| Other Name | CARL M ERICKSON, D.O. |
| Entity Type | Organization |
| Authorized Contact | CARL M ERICKSON Family Practice 503-233-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO12690) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OR DO12690) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |