Individual provider · Type 1 NPI

Kim K. Erickson, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Portland, OR

NPI number 1881674042 Active

Practice location

511 10th Ave Suite 808
Portland, OR 97205-4661

Fax (503) 289-2930

Mailing address

511 SW 10th Ave Suite 808
Portland, OR 97205

Other practice locations

  • 926 Franklin Ave, Lemoore, CA 93246-0001 · (559) 998-4220
  • 405 SE 133rd Ave, Portland, OR 97233 · (855) 433-6825
  • 8931 SE Foster Rd, Portland, OR 97266-4661 · (855) 433-6825

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD6905 (OR)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1881674042

Kim K. Erickson, DMD, MD's National Provider Identifier is 1881674042, issued on Jan 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, OR. The record was last updated on Dec 11, 2019.