MEDICARE: ERIN O'BRIEN POWERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	PG230508	OR
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1194698977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN O'BRIEN POWERS MD

Provider Business Mailing Address
First Line	:	19761 BEAVERCREEK RD
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-9557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19761 BEAVERCREEK RD
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-9557
Country	:	US
Telephone Number	:	971-710-6681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	04/13/2026

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