KATHERINE M ERICKSON MD
NPI 1003482068
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Katherine Erickson's NPI number?

The NPI number for Katherine Erickson is 1003482068. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Katherine Erickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 01, 2021PECOS Enrolled

5050 NE HOYT ST STE 540, PORTLAND, OR 97213(503) 215-6600 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2026, Aug 11, 2021, Jun 1, 2021 (3 updates tracked since 2021).

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About Katherine M Erickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE M ERICKSON MD (NPI 1003482068) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Oregon (PG204690) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Valley City, and is a graduate of Oregon Health Sciences University School Of Medicine (2021).

NPPES Registry Identity

NPI1003482068

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHERINE M ERICKSONCredential: MD

Location Address5050 NE HOYT ST STE 540Portland, OR 97213-2985

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-6600

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2021

Enumeration DateJune 1, 2021

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1003482068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OR · PG204690

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDermatologyTaxonomy 207N00000X · License 14268901-1205 (UT)

Also ListedInternal MedicineTaxonomy 207R00000X · License PG204690 (OR)

5050 NE HOYT ST STE 540, Portland, OR 97213

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Secondary Practice Location 1

Location 15373 W Lake Park BlvdWest Valley City, UT 84120-8208 · Phone (801) 902-7960

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine M Erickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012317506

PECOS Enrollment IDI20260604003703

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER M BENDER MD

Internal Medicine