Erickson, Carl Michael

Erickson, Carl Michael is an sole proprietor health care provider with primary practice located at 6542 Se Lake Rd Ste 202 , Milwaukie OR 97222-2245. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Erickson, Carl Michael can be contacted via phone (503) 233-5273.

Contact Information

Primary practice address
6542 Se Lake Rd Ste 202 Milwaukie OR 97222-2245
Phone: (503) 233-5273
Fax: (855) 492-8902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X DO12690 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO12690 Oregon

Profile Details

NPI number 1710970876
LBN Legal business name Erickson, Carl Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Jun 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710970876 NPPES
Oregon Other 120000019 MEDICARE RAILROAD
Oregon MEDICAID 226639 MEDICARE RAILROAD

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