MR. Timothy A Ericson, FNP

NPI #1376836981 in Woodburn, Oregon

Provider Information

NPI Number
1376836981
Entity Type
Individual
Name
MR. Timothy A Ericson, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
May 16, 2011
Last Updated
Dec 2, 2017

Practice Location

Address
1475 MT HOOD AVE.
State
Oregon
ZIP Code
97071
Phone
(503) 982-2174

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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