Erickson, Russell C
Erickson, Russell C is an individual health care provider with primary practice located at 13530 Se 97Th Ave , Clackamas OR 97015-7691. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Erickson, Russell C can be contacted via phone (503) 353-1471.Contact Information
Primary practice address
13530 Se 97Th Ave
Clackamas OR 97015-7691
Phone: (503) 353-1471
Fax: (503) 353-1473
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 6120 | Oregon |
Profile Details
NPI number | 1871591594 |
---|---|
LBN Legal business name | Erickson, Russell C |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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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