Ericson, Timothy A

Ericson, Timothy A is an individual health care provider with primary practice located at 1475 Mt Hood Ave. , Woodburn OR 97071. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ericson, Timothy A can be contacted via phone (503) 982-2174.

Contact Information

Primary practice address
1475 Mt Hood Ave. Woodburn OR 97071
Phone: (503) 982-2174
Fax: (503) 982-4599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 20561 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201394165NP-PP Oregon

Profile Details

NPI number 1376836981
LBN Legal business name Ericson, Timothy A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated Dec 2nd, 2017 - about 9 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.

Request for update

Popular Providers