IndividualActive
Kim Erickson, DMD, MD
NPI 1881674042 · Oral and Maxillofacial Surgery (Dentist) · Portland, OR
Provider details
- NPI number
- 1881674042
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Female
- Sole proprietor
- No
- License
- D6905 (OR)
Specialties & taxonomies
Dental Providers
Practice location
511 10th Ave Suite 808
Portland, OR 97205-4661
Phone: (503) 289-9621
Fax: (503) 289-2930
Approximate (ZIP-level) locationGet directions
Mailing address
511 Sw 10th Ave Suite 808
Portland, OR 97205
Additional practice locations (3)
- 926 Franklin AveLemoore, CA 93246-0001Phone: (559) 998-4220
- 8931 Se Foster RdPortland, OR 97266-4661Phone: (855) 433-6825
- 405 Se 133rd AvePortland, OR 97233Phone: (855) 433-6825
Registry dates
- Enumerated
- 2006-01-21
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.