Individual provider · Type 1 NPI
Timothy A. Ericson, FNP
Nurse Practitioner · Woodburn, OR
Practice location
1475 Mt Hood Ave.
Woodburn, OR 97071
Fax (503) 982-4599
Mailing address
PO Box 278
Woodburn, OR 97071-0278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | NP 20561 (CA) |
| Nurse Practitioner Primary | 363L00000X | 201394165NP-PP (OR) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1376836981
Timothy A. Ericson, FNP's National Provider Identifier is 1376836981, issued on May 16, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodburn, OR. The record was last updated on Dec 2, 2017.