GARY DUANE ERICSON

PORTLAND, OR
NPI1992897177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD20450)
Enumeration Date2006-09-28
Last Update Date2011-12-23
Business Address
-- GARY DUANE ERICSON MD
800 SW 13TH AVE
PORTLAND, OR 97205
Phone number: 503-221-0161
Mailing Address
-- GARY DUANE ERICSON MD
1605 GEORGE JACKSON RD
MAUPIN, OR 97037-9208
Phone number: 541-395-2911
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