Erickson, Mark

Erickson, Mark is an individual health care provider with primary practice located at 625 Nw 17Th Ave , Portland OR 97209-2209. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Erickson, Mark can be contacted via phone (503) 924-6535.

Contact Information

Primary practice address
625 Nw 17Th Ave Portland OR 97209-2209
Phone: (503) 924-6535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 5053 Oregon

Profile Details

NPI number 1043579477
LBN Legal business name Erickson, Mark
Credentials D.C., M.SC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2012
Last updated May 4th, 2012 - about 13 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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