IndividualActive
Mark Erickson, D.C., M.SC
NPI 1043579477 · Sports Physician Chiropractor · Portland, OR
Provider details
- NPI number
- 1043579477
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C., M.SC
- Sex
- Male
- Sole proprietor
- No
- License
- 5053 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
625 Nw 17th Ave
Portland, OR 97209-2209
Phone: (503) 924-6535
Approximate (ZIP-level) locationGet directions
Mailing address
625 Nw 17th Ave
Portland, OR 97209
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.