Ericksen, Cameron J

Ericksen, Cameron J is an individual health care provider with primary practice located at 4141 N Williams Ave # 106 , Portland OR 97217-2988. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ericksen, Cameron J can be contacted via phone (971) 230-8161.

Contact Information

Primary practice address
4141 N Williams Ave # 106 Portland OR 97217-2988
Phone: (971) 230-8161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C6008 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1528836798
LBN Legal business name Ericksen, Cameron J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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