Individual provider Active NPI

Patrick Erickson, DO

  • Family Medicine Physician
  • Milwaukie, OR
National Provider Identifier
1588105415
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO208658 Issued in OR
Practice address
6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245
Phone
(503) 233-5273
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102206703 VA
Family Medicine Physician 207Q00000X DO208658 OR Primary

Addresses

Primary practice location

6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245

Mailing address

200 Mullins Dr
Lebanon, OR 97355-3983
Phone (503) 473-1751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002234 OR Practitioner - Family Practice 4082944079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Col of Osteo Med of the Pacific at Lebanon, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cynthia Gulick PCGroup PAC ID 2860487279, 23 clinicians
Cascade Family Practice LLCGroup PAC ID 0244619351, 2 clinicians

Practice addresses (Care Compare)

11900 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 620-5556

6542 SE Lake Rd
Suite 202
Milwaukie, OR 97222-2245
Phone (503) 233-5273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO208658ORMDFamily Medicine Physician
0102206703VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Gulick, PC Family Medicine CurrentSince Jul 15, 2022 Accepting new patients
Cascade Family Practice LLC Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
My Other Me PastSince Jul 15, 2022 Accepting new patients

Locations

6542 SE Lake Rd
Ste 202
Portland, OR 97222
Phone (503) 233-5273

11900 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 386-5424

Interoperability endpoints

  • Direct secure messaging: patrick.erickson@hca6.eclinicaldirectplus.com
  • Direct secure messaging: patrick.erickson@swfp.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1588105415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MULLINS DR",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553983",
            "telephone_number": "503-473-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-233-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-03-25",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206703",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO208658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.