Healthcare Provider Details

I. General information

NPI: 1144976770
Provider Name (Legal Business Name): ERIK SHARP FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SW RAMSEY AVE
GRANTS PASS OR
97527-5554
US

IV. Provider business mailing address

2825 E BARNETT RD
MEDFORD OR
97504-8332
US

V. Phone/Fax

Practice location:
  • Phone: 541-472-7000
  • Fax: 541-472-7107
Mailing address:
  • Phone: 541-789-4200
  • Fax: 541-789-4806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10007899
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: