MEDICARE: VALERIE M ERICKSON PT

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	225100000X	Physical Therapist	4012	NM
2	225100000X	Physical Therapist	PHYP2605	AK

General Provider Information

NPI Number	:	1033480249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE M ERICKSON PT

Provider Business Mailing Address
First Line	:	PO BOX 4105
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-4105
Country	:	US
Telephone Number	:	866-907-1068
Fax Number	:	425-917-9141

Provider Business Practice Location Address
First Line	:	1200 W NORTHERN LIGHTS BLVD STE A
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-3652
Country	:	US
Telephone Number	:	907-212-2090
Fax Number	:	907-212-2570

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

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	02/23/2022

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Directions to “ VALERIE M ERICKSON PT” Practice Location

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