Provider Demographics
NPI:1962531970
Name:ERKUS, WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:ERKUS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 SW CEDAR HILLS BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3205 SW CEDAR HILLS BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1374
Practice Address - Country:US
Practice Address - Phone:503-643-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2313ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist