Provider Demographics
NPI:1720634629
Name:ERICKSON, CAMERON BJORN (RN)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:BJORN
Last Name:ERICKSON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:JUNEAU PUBLIC HEALTH CENTER, ATTN: CAMERON ERICKSON
Mailing Address - Street 2:PO BOX 110617
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99811-0617
Mailing Address - Country:US
Mailing Address - Phone:907-465-3353
Mailing Address - Fax:907-465-3389
Practice Address - Street 1:JUNEAU PUBLIC HEALTH CENTER
Practice Address - Street 2:3412 GLACIER HIGHWAY
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-465-3353
Practice Address - Fax:907-465-3389
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURR27414163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse