Larry M Erickson HIS

NPI 1043265002 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1043265002
Gender Male
Enumeration Date 05/24/2006
Last Updated 07/24/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
974 SW VETERANS WAY
#2
REDMOND OR, 97756, US
Phone (541) 318-2883
Fax (541) 548-2166
Business Location
8800 SE SUNNYSIDE RD.
STE. 300-N
CLACKAMAS OR, 97015-5738, US
Phone (503) 659-5115
Fax (503) 659-5887
Toxanomy
Taxonomy Code 237700000X
License State Oregon
License Number HASP1004595
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According to our database, Larry M Erickson HIS NPI is 1043265002, taxonomy code is 237700000X and license number is HASP1004595, license state is located at Oregon. Larry M Erickson HIS physically located at 974 Sw Veterans Way, Redmond OR, 97756. NPI Number Larry M Erickson HIS has the Individual type.

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1043265002 NPI number is provided on an as is basis without warranty of any kind. 1043265002 is maintained by the National Plan & Provider Enumeration System. The contents of Larry M Erickson HIS are for informational purposes only.