Healthcare Provider Details

I. General information

NPI: 1912599960
Provider Name (Legal Business Name): ERIN CHRISTINA BERRY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2970 HIGHWAY 101
FLORENCE OR
97439-9711
US

IV. Provider business mailing address

2459 SE TUALATIN VALLEY HWY # 416
HILLSBORO OR
97123-7919
US

V. Phone/Fax

Practice location:
  • Phone: 866-972-0235
  • Fax:
Mailing address:
  • Phone: 503-972-0235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10016404
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: