Individual provider · Type 1 NPI

Justin Ericson

Student in an Organized Health Care Education/Training Program · Eugene, OR

NPI number 1710015573 Active

Practice location

2727 Leo Harris Pkwy
Eugene, OR 97401-8835

Call (547) 346-5304 Map

Mailing address

2050 Goodpasture Loop, Apt. 98
Eugene, OR 97401-1550

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710015573

Justin Ericson's National Provider Identifier is 1710015573, issued on Mar 1, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.