Russell Erickson DDS PC

NPI #1497922041 in Clackamas, Oregon

Provider Information

NPI Number
1497922041
Entity Type
Organization
Organization Name
Russell Erickson DDS PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 13, 2008
Last Updated
May 13, 2008

Practice Location

Address
13530 SE 97TH AVE
State
Oregon
ZIP Code
97015-7691
Phone
(503) 353-1471

Authorized Official

Name
DR. RUSSELL ERICKSON III, DDS
Title
DENTIST/OWNER
Phone
(503) 353-1471

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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