Provider Demographics
NPI:1821133158
Name:DAVIS, ERICK M (MD MPH MBA)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:M
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD MPH MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7048 22ND AVE NW
Mailing Address - Street 2:THE STUDIO BUILDING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5625
Mailing Address - Country:US
Mailing Address - Phone:206-419-4883
Mailing Address - Fax:
Practice Address - Street 1:SCHICK SHADEL HOSPITAL
Practice Address - Street 2:12101 AMBAUM BLVD SW
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146
Practice Address - Country:US
Practice Address - Phone:206-244-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016603208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist