Provider Demographics
NPI:1467495374
Name:FRANCK, ERIC ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANDREW
Last Name:FRANCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 SW IDAHO TER
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-3362
Mailing Address - Country:US
Mailing Address - Phone:904-707-5689
Mailing Address - Fax:
Practice Address - Street 1:4206 SW IDAHO TER
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-3362
Practice Address - Country:US
Practice Address - Phone:904-707-5689
Practice Address - Fax:904-707-5689
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG81592207L00000X
FLME95492207L00000X
WI52778-20207LP3000X
ORMD161240207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500657871Medicaid
FL2762382-00Medicaid
FLU8216ZMedicare PIN
FLG48517Medicare UPIN
FLP00404411Medicare PIN