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Justin Ericson
Student in an Organized Health Care Education/Training Program in Eugene, Oregon
NPI 1710015573

Justin Ericson is a Student in an Organized Health Care Education/Training Program based in Eugene, OR. Justin Ericson practices in Eugene, OR. The NPI Number for Justin Ericson is 1710015573 and holds a License No. (Oregon).

The current practice location address for Justin Ericson is 2727 Leo Harris Pkwy, Eugene, OR and can be reached out via phone at 547-346-5304.

Location: 2727 Leo Harris Pkwy, Eugene, OR, 97401-1550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710015573
Provider Name
Justin Ericson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2727 Leo Harris Pkwy, Eugene, OR, 97401-1550
Phone Number
547-346-5304
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2727 Leo Harris Pkwy
City
Eugene
State
Oregon
Zip
97401-8835
Phone Number
547-346-5304
Fax Number
person
Provider Business Mailing Address Details
Address
2727 Leo Harris Pkwy
City
Eugene
State
Oregon
Zip
97401-8835
Phone Number
547-346-5304
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oregon)
Definition
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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