Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith P. Erickson, PA-C

Individual provider Physician Assistant · NPI 1225009061

Keith P. Erickson, PA-C is a Physician Assistant in Marysville, Washington. Qualified in 2001, 25 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
25
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11603 State Ave Ste G
Marysville, WA 98271-8465
Phone: (360) 653-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 3034 (AZ)

Record details

NPI number1225009061
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Marysville