RUSSELL ERICKSON DDS PC NPI 1497922041

NPI Information

NPI: 1497922041
Provider Name: RUSSELL ERICKSON DDS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
13530 SE 97TH AVE
CLACKAMAS, OR
ZIP 97015
Phone: (503) 353-1471
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RUSSELL ERICKSON DDS PC is a dental clinic center in Clackamas, OR. RUSSELL ERICKSON DDS PC NPI is 1497922041. The provider is registered as an organization entity type.

The provider's business location address is:

13530 SE 97TH AVE
CLACKAMAS, OR
ZIP 97015-691
Phone: (503) 353-1471
Fax: (503) 353-1473

The provider's authorized official is Russell Erickson .
The authorized official title is Dentist/owner and has the following contact phone number (503) 353-1471.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D6120	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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