Healthcare Provider Details

I. General information

NPI: 1548187107
Provider Name (Legal Business Name): DAVID ERIC BURKHART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MAIN ST
OREGON CITY OR
97045-1818
US

IV. Provider business mailing address

516 13TH ST APT 2
OREGON CITY OR
97045-1607
US

V. Phone/Fax

Practice location:
  • Phone: 971-320-1828
  • Fax: 503-212-6312
Mailing address:
  • Phone: 971-378-8809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number114800
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: