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NPI 1003482068 · live from the CMS NPI Registry

Katherine M Erickson, MD

Student in an Organized Health Care Education/Training Program in Portland, OR. National Provider Identifier 1003482068, active.

NPI record

NPI1003482068 Type 1 · individual
StatusActive
Primary specialtyStudent in an Organized Health Care Education/Training Program 390200000X
Practice location5050 Ne Hoyt St Ste 540, Portland, OR 97213
Practice phone503-215-6600
Mailing addressPo Box 3158, Portland, OR 97208
EnumeratedJune 1, 2021
Last updatedApril 7, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000XPG204690 (OR)
Dermatology207N00000X14268901-1205 (UT)
Student in an Organized Health Care Education/Training Program primary390200000XPG204690 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.