MEDICARE: ERIKA K MEYER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD24385	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033101662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA K MEYER MD

Provider Business Mailing Address
First Line	:	1130 NW 22ND AVE
Second Line	:	STE 320
City	:	PORTLAND
State	:	OR
Zip	:	97210-2900
Country	:	US
Telephone Number	:	503-295-2546
Fax Number	:	503-790-1248

Provider Business Practice Location Address
First Line	:	1130 NW 22ND AVE
Second Line	:	STE 320
City	:	PORTLAND
State	:	OR
Zip	:	97210-2900
Country	:	US
Telephone Number	:	503-295-2546
Fax Number	:	503-790-1248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	03/04/2014

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Directions to “ ERIKA K MEYER MD” Practice Location

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