Active NPI
Laura E Metzger, M.D.
- Allergy & Immunology Physician
- Salem, OR
National Provider Identifier
1770521833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD052618
- Practice address
- 2020 Capitol St NE
Salem, OR 97303-3244 - Phone
- (503) 399-2424
- Fax
- (503) 375-7429
- NPI assigned
- Jun 2, 2006
- Last updated
- Jun 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD052618 | OR | Primary |
Addresses
Primary practice location
2020 Capitol St NE
Salem, OR 97303-3244
Mailing address
9735 SW Shady LN
Ste 102
Tigard, OR 97223-5481
Phone (503) 620-5614
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052618 | Medicaid | OR | |
| CS4159 | Other | RAILRAOD GROUP | |
| 030002156 | Other | OR | RAILROAD MEDICARE |
Other names 1
- Laura E Erickson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD052618 | OR | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1770521833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "STE 102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-620-5614",
"fax_number": "503-598-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAPITOL ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973033244",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "LAURA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "MD052618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052618",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD GROUP",
"identifier": "CS4159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030002156",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ERICKSON",
"middle_name": "E",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.