Healthcare Provider Details

I. General information

NPI: 1881910743
Provider Name (Legal Business Name): JOSEPH DAVID ERICKSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 5TH AVE
SEATTLE WA
98104-2332
US

IV. Provider business mailing address

500 5TH AVE
SEATTLE WA
98104-2332
US

V. Phone/Fax

Practice location:
  • Phone: 206-477-6305
  • Fax:
Mailing address:
  • Phone: 206-477-6305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0011809
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: