Justin Ericson is a student in an organized health care education training program in Eugene, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Ericson NPI is 1710015573. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2727 LEO HARRIS PKWY
EUGENE, OR
ZIP 97401-835
Phone: (547) 346-5304
The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/8/2007.