GARY DUANE ERICSON MD
NPI 1992897177
Internal Medicine in Portland, OR

Q: What is Gary Ericson's NPI number?

The NPI number for Gary Ericson is 1992897177. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Gary Ericson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Ericson was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2006

800 SW 13TH AVE, PORTLAND, OR 97205(503) 221-0161(503) 221-4451 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Duane Ericson Md NPPES

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

GARY DUANE ERICSON MD (NPI 1992897177) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD20450) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1992897177

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGARY DUANE ERICSONCredential: MD

Location Address800 SW 13TH AVEPortland, OR 97205

Mailing Address1605 George Jackson RdMaupin, OR 97037-9208 · (541) 395-2911 · Fax (541) 395-2912

Phone(503) 221-0161

Fax(503) 221-4451

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateDecember 23, 2011

✔ NPI 1992897177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD20450

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

800 SW 13TH AVE, Portland, OR 97205

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Other Identifiers 3

Medicare ID-Type Unspecified132488

Medicare UPINA42359

Medicaid269835OR

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.

THOMAS FREDERICK HIRSH MD

Radiology (Body Imaging)