Cameron J Ericksen

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4141 N Williams Ave # 106
Portland, OR 97217-2988

Phone

(971) 230-8161

NPI assigned

Dec 18, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1528836798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29091 SW SAN MIGUEL LN",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970703109",
            "telephone_number": "971-230-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N WILLIAMS AVE # 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172988",
            "telephone_number": "971-230-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "CAMERON",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6008",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Annette Erhart, MSW, LISAC, CADC III
• Eric Goodwin Counseling, LLC
• Eric N. Kim, DDS, PC
• Erica Robyn Burley Mstom Lac (Silver Lining Acupuncture)
• Erich Lieberknecht LLC
• Michael Kent Ericksen, M.D.
• Tara Ericksen, NP
• April Erickson, CRM, QMHA-R
• Arah Erickson, LPC
• Audra Erickson, BS, LMT

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.