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NPI Code Detail

MEDICARE: MRS. CHRISTINE JOY ERICKSON RN, APNP

MEDICARE: MRS. CHRISTINE JOY ERICKSON RN, APNP
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
1163W00000XRegistered Nurse139367-030WI
2163W00000XRegistered Nurse097006506OR
3363LA2200XAdult Health Nurse Practitioner2297-033WI
4363LA2200XAdult Health Nurse Practitioner201603909NP-PPOR

General Provider Information

NPI Number : 1619125689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE JOY ERICKSON RN, APNP
Provider Business Mailing Address
First Line : 8675 SW GARDEN HOME RD
Second Line :
City : PORTLAND
State : OR
Zip : 97223-7354
Country : US
Telephone Number : 608-234-7928
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N GANTENBEIN AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1623
Country : US
Telephone Number : 503-413-6862
Fax Number : 503-413-2879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 08/29/2021

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