DR. KENNETH R. ERICKSON (M.D., PHD) – Psychiatry Physician, NPI 1639110331

DR. KENNETH R. ERICKSON (M.D., PHD) is a healthcare provider. based in Corvallis, Oregon. specializing in Psychiatry Physician. They hold the professional credentials M.D., PHD. They hold a License No. MD13119 (OR). The NPI Number for DR. KENNETH R. ERICKSON (M.D., PHD) is 1639110331

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH R. ERICKSON (M.D., PHD)
NPI
1639110331
Phone
(541) 768-5144
Address
3509 NW SAMARITAN DR
Enumeration Date
10 June 2006
Last Update Date
8 April 2013

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5418125060
Graduation Year
1981 (45 years ago)
PAC ID
9830149483
Group Practice PAC ID
1557270725
Professional Enrollment ID
I20050214000726
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH R. ERICKSON (M.D., PHD)

  • 3509, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 973303766

    Phone: (541) 768-5144

    Fax: (541) 768-5201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: PFIZER INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557270725View full group profile
NameSpecialtyState
Internal MedicineOR
-OR
Rheumatology, Internal MedicineOR
Physical Therapist In Private PracticeMT
Nurse PractitionerOR
Physician AssistantOR
-OR
-OR
A N E S T H E S I O L O G YOR
G A S T R O E N T E R O L O G YOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KENNETH R. ERICKSON (M.D., PHD)?
DR. KENNETH R. ERICKSON (M.D., PHD) — NPI 1639110331 — is the standard way to identify this listing.
Is DR. KENNETH R. ERICKSON (M.D., PHD) listed as active for patients and plans?
The listing shows DR. KENNETH R. ERICKSON (M.D., PHD) as active in the NPI system.
What taxonomy line describes DR. KENNETH R. ERICKSON (M.D., PHD)?
For research purposes, treat DR. KENNETH R. ERICKSON (M.D., PHD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. KENNETH R. ERICKSON (M.D., PHD) list a practice location?
Patients near Corvallis, Oregon may find DR. KENNETH R. ERICKSON (M.D., PHD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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