Michael Kent Ericksen
M.D. | Pediatrics | Male
Michael Kent Ericksen, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Kent Ericksen is
9155 Sw Barnes Road, Portland, Oregon - 97225. He can be contacted on phone at
503-296-7800 and fax number 503-291-1584.
Michael Kent Ericksen is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Kent Ericksen is
1497773758 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 21 Jul, 2022.
Michael Kent Ericksen license number is
MD21148 for Pediatrics (208000000X) in Oregon.
Michael Kent Ericksen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Kent Ericksen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael Kent Ericksen |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Michael Kent Ericksen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9155 Sw Barnes Road
Portland, OR, 97225
United States |
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| Phone Number : | 503-296-7800 |
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| Fax Number : | 503-291-1584 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497773758 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Kent Ericksen are as mentioned. Primary taxonomy code for Michael Kent Ericksen, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD21148 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Michael Kent Ericksen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 151337 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9155 Sw Barnes Road, Suite 840
Portland, OR, 97225
United States |
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| Phone Number : | 503-691-5770 |
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| Fax Number : | 503-291-1584 |
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Business Location:
Patients can refer following map for directions to
Michael Kent Ericksen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.