Kim K Erickson in Portland - Oral And Maxillofacial Surgery
Kim K Erickson - NPI 1881674042
Kim K Erickson is a Oral And Maxillofacial Surgery in Portland, Oregon. Kim K Erickson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kim K Erickson is 1881674042. The last update date is 2019-12-11.
Kim K Erickson's current location address is 511 Sw 10th Ave Suite 808, Portland, Oregon. You can contact this provider via phone number 5032899621 and fax number 5032892930. The mailing address for Kim K Erickson is 511 Sw 10th Ave Suite 808, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim K Erickson |
|---|---|
| Address | 511 Sw 10th Ave Suite 808, Portland, Oregon |
| Phone Number | 5032899621 |
| Fax Number | 5032892930 |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1881674042 |
|---|---|
| Provider Enumeration Date | 2006-01-21 |
| Last Updated Date | 2019-12-11 |
Provider Mailing Address Detail
| Address | 511 Sw 10th Ave Suite 808 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97205 |
| Phone Number | 5032899621 |
| Fax Number | 5032892930 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D6905 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Kim K Erickson's unique identification number?
The Kim K Erickson has been assigned the NPI (National Provider Identifier) Number 1881674042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kim K Erickson?
The Kim K Erickson is situated at 511 Sw 10Th Ave Suite 808, in the city of Portland, state of OR, with the zip code 97205.
What is Kim K Erickson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim K Erickson's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881674042 to Kim K Erickson?
The Kim K Erickson received its 1881674042 assignment from the Centers for Medicare & Medicaid Services on 2006-01-21.
As of what date were the details pertaining to Kim K Erickson last refreshed?
The information related to the Kim K Erickson, including its address, specialty, and other relevant details, was last updated on 2019-12-11.