Provider Demographics
NPI:1205807112
Name:NORTH, ERIC MORGAN (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:MORGAN
Last Name:NORTH
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 1:530 WELCH ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1946
Mailing Address - Country:US
Mailing Address - Phone:503-874-6026
Mailing Address - Fax:
Practice Address - Street 1:530 WELCH ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1946
Practice Address - Country:US
Practice Address - Phone:503-874-6026
Practice Address - Fax:503-874-6061
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD27492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR164918Medicare UPIN