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General NPI Number Information
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NPI Number | 1205898806
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Entity Type | Individual
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Provider Name | ERIK EGSIEKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216
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Country | US
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Telephone | 503-252-2004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5275
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City | PORTLAND
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State | OR
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Zip | 97208-5275
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Country | US
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Telephone | 888-828-3196
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C156675
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 115510
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 62652
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD24200
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60811852
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME172110
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036105779
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License Number State | IL
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