ERIC MIKKONEN NORDSTROM (NPI# 1255656716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255656716 |
| Entity Type | Individual |
| Full Name | ERIC MIKKONEN NORDSTROM |
| Credential | M.D. |
| Practice Address |
700 Ne 87th Ave Ste 310 Vancouver WA 98664 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-4896 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041748 |
| Mailing Telephone | 3603973352 |
| Mailing Fax Number | 3606041771 |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60739928 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316954670 | Eric M Nordstrom | Dentist | 2041 Tributary Cir, Anchorage, AK 99516-7318 | 2006-08-01 |
| 1972549145 | Eric Dale Nordstrom | Dentist | 309 Lakeland Drive Se, Suite 1, Willmar, MN 56201-4099 | 2006-06-22 |
| Street Address |
700 NE 87TH AVE STE 310 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879562 | Emma Claire Ordway | Physician Assistant | 700 Ne 87th Ave Ste 310, Vancouver, WA 98664-4896 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1992980213 | Joy Shan-fong Chen | Internal Medicine | 501 Se 172nd Ave Ste 240, Vancouver, WA 98684-9542 | 2008-01-05 |
| 1275633844 | Samuel K Sim | Internal Medicine | 2415 Ne 134th Street, Suite 205, Vancouver, WA 98686 | 2006-09-24 |
| 1417968256 | Joseph Y Chang | Internal Medicine | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2006-08-10 |
| 1285668822 | Son T Do | Internal Medicine | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2006-07-10 |
| 1952301277 | Jonathan R Sachs | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2005-07-28 |
| 1073802773 | Peter R Caruana | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2011-04-04 |
| 1154647584 | David Sprague | Internal Medicine | 700 Ne 87th Ave, Suite 310, Vancouver, WA 98664-1913 | 2010-04-09 |
| 1811139256 | John Randles | Internal Medicine | 2525 Ne 139th St, Ste 250, Vancouver, WA 98686-2719 | 2009-03-31 |
| 1417196833 | Jaime Jose Wilson-chiru | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2009-02-09 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on ERIC MIKKONEN NORDSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.