Healthcare Provider Details

I. General information

NPI: 1659700029
Provider Name (Legal Business Name): ERICA ELIZABETH AKBARI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA ELIZABETH HAMILTON PA-C

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 SE POWELL VALLEY RD
GRESHAM OR
97080-1494
US

IV. Provider business mailing address

PO BOX 8100
SALEM OR
97303-0900
US

V. Phone/Fax

Practice location:
  • Phone: 503-666-5050
  • Fax:
Mailing address:
  • Phone: 305-399-2470
  • Fax: 503-375-7429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number51265
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA167387
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA167387
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: