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NPI Code Detail

MEDICARE: DR. ERIK E SWENSSON M.D.

MEDICARE:  DR. ERIK E SWENSSON  M.D.
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
1208600000XSurgery PhysicianMD20803OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2113836OTHERORGROUP PIN MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1194720524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIK E SWENSSON M.D.
Provider Business Mailing Address
First Line : 392 NE NORTON LN
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8481
Country : US
Telephone Number : 503-434-6060
Fax Number : 503-435-6463
Provider Business Practice Location Address
First Line : 392 NE NORTON LN
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8481
Country : US
Telephone Number : 503-434-6060
Fax Number : 503-435-6463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 02/01/2011

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Directions to “ DR. ERIK E SWENSSON M.D.” Practice Location

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