Healthcare Provider Details

I. General information

NPI: 1033748421
Provider Name (Legal Business Name): ERIK THOMAS PIHL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 DELAWARE ST
LONGVIEW WA
98632-2367
US

IV. Provider business mailing address

2703 BOYLSTON AVE E APT 404
SEATTLE WA
98102-3129
US

V. Phone/Fax

Practice location:
  • Phone: 360-501-3500
  • Fax: 360-501-3555
Mailing address:
  • Phone: 907-617-8613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number70143010
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: