KIM K ERICKSON DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1881674042- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 511 10TH AVE SUITE 808, PORTLAND, OR, 972054661
- Phone
- (503) 289-9621
- Fax
- (503) 289-2930
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D6905