Erickson, Kim K

Erickson, Kim K is an individual health care provider with primary practice located at 511 10Th Ave Suite 808 , Portland OR 97205-4661. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Erickson, Kim K can be contacted via phone (503) 289-9621.

Contact Information

Primary practice address
511 10Th Ave Suite 808 Portland OR 97205-4661
Phone: (503) 289-9621
Fax: (503) 289-2930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D6905 Oregon

Profile Details

NPI number 1881674042
LBN Legal business name Erickson, Kim K
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Dec 11th, 2019 - 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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