Gary Duane Ericson, MD

NPI #1992897177 in Portland, Oregon

Provider Information

NPI Number: 1992897177
Entity Type: Individual
Name: Gary Duane Ericson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 28, 2006
Last Updated: Dec 23, 2011

Practice Location

Address: 800 SW 13TH AVE
City: Portland
State: Oregon
ZIP Code: 97205
Phone: (503) 221-0161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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