Kenneth R Erickson (NPI# 1639110331, PAC ID# 9830149483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639110331 |
| PAC ID by PECOS | 9830149483 |
| Professional Enrollment ID | I20050214000726 |
| Full Name | Kenneth R Erickson |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Address |
1052 29th Ave Sw Albany OR 97321-3416 |
| Phone Number | 5418125060 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 1557270725 |
| Number of Group Practice Members | 278 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1052 29th Ave Sw, Albany, OR 97321-3416 | 5418125060 | GOOD SAMARITAN HOSPITAL CORVALLIS |
| 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 5417685111 | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Organization Legal Name | GOOD SAMARITAN HOSPITAL CORVALLIS |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Rosevelt Jones | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Moacyr Ribeiro De Oliveira | Hematology/oncology | Good Samaritan Hospital Corvallis | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 |
| Samantha Domingo | Psychologist, Clinical | Good Samaritan Hospital Corvallis | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 |
| Jonathan D Jones | Rheumatology | Good Samaritan Hospital Corvallis | 3620 Nw Samaritan Dr, Suite 203a, Corvallis, OR 97330-4714 |
| Michaela Jae Williams | Physician Assistant | Good Samaritan Hospital Corvallis | 996 Nw Circle Blvd, Suite 103, Corvallis, OR 97330-1485 |
| Erin Marin Kettler | Physical Therapy | Good Samaritan Hospital Corvallis | 815 Nw 9th St, Suite 180, Corvallis, OR 97330-6173 |
| Christopher P Kargel | Osteopathic Manipulative Medicine | Good Samaritan Hospital Corvallis | 3517 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3769 |
| Travis Michael Obermire | Physical Therapy | Good Samaritan Hospital Corvallis | 845 Sw 30th St, Corvallis, OR 97331-8629 |
| Nancy L Nelson | Pediatric Medicine | Good Samaritan Hospital Corvallis | 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 |
| Kevin Chiappone | Physician Assistant | Good Samaritan Hospital Corvallis | 990 Nw Circle Blvd, Corvallis, OR 97330-1967 |
| Street Address |
1052 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip | 97321-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Rosevelt Jones | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Deidre A Lafferty | Clinical Social Worker | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Dennis Timothy Mccarley | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Dara Mitchell | Psychiatry | Good Samaritan Hospital Corvallis | 1052 29th Ave Sw, Albany, OR 97321-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gale A Smolen | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Ronald Richard Ryden | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jon D Sobotka | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James B Newman | Nurse Practitioner | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Robert F Vandiver | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Sean Phillip Becker | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Leonard K Jones | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jay L Wung | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Michelle L Hastings | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James E Clay | Clinical Psychologist | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Find all physicians in zip 97321 | |||
| City | ALBANY |
| Zip Code | 97321 |
| Specialty | PSYCHIATRY |
| City + Specialty | ALBANY + PSYCHIATRY |
Please comment or provide details below to improve the information on Kenneth R Erickson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.