Dr. Kenneth R. Erickson, M.D., PhD
Psychiatry & Neurology, Psychiatry in Corvallis, OR. Individual provider (NPI-1).
NPI number1639110331
StatusActive
Last updated in NPPESApr 8, 2013
Details
- NPI
- 1639110331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth R. Erickson
- Credential
- M.D., PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Apr 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD13119 | OR | Yes |
Practice location
3509 Nw Samaritan DrCorvallis, OR 97330-3766
Phone 541-768-5144 · Fax 541-768-5201
Mailing address
3509 Nw Samaritan DrCorvallis, OR 97330-3766
Phone 541-768-5144 · Fax 541-768-5201
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