Russell Erickson Dds Pc in Clackamas - Dental
Russell Erickson Dds Pc - NPI 1497922041
Russell Erickson Dds Pc is a Dental in Clackamas, Oregon. Russell Erickson Dds Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Russell Erickson Dds Pc is 1497922041. The last update date is 2008-05-13.
Russell Erickson Dds Pc's current location address is 13530 Se 97th Ave, Clackamas, Oregon. You can contact this provider via phone number 5033531471 and fax number 5033531473. The mailing address for Russell Erickson Dds Pc is 13530 Se 97th Ave, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell Erickson Dds Pc |
|---|---|
| Address | 13530 Se 97th Ave, Clackamas, Oregon |
| Phone Number | 5033531471 |
| Fax Number | 5033531473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Erickson Russell |
| Credentials | DDS |
| Telephone Number | 5033531471 |
NPI Number Detail
| NPI Number | 1497922041 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 13530 Se 97th Ave |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970157691 |
| Phone Number | 5033531471 |
| Fax Number | 5033531473 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D6120 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the Russell Erickson Dds Pc's 1497922041?
The Russell Erickson Dds Pc's NPI (National Provider Identifier) Number is 1497922041. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Russell Erickson Dds Pc located?
The Russell Erickson Dds Pc is located at 13530 Se 97Th Ave, Clackamas, OR 970157691.
What is Russell Erickson Dds Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Erickson Dds Pc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
When was the Russell Erickson Dds Pc's 1497922041 issued?
The Russell Erickson Dds Pc's 1497922041 was issued on 2008-05-13.
When was the information related to Russell Erickson Dds Pc most recently updated or refreshed?
The details pertaining to the Russell Erickson Dds Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-13.
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