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NPI Code Detail

MEDICARE: MS. ERIN JOY WARREN PNP-AC/PC

MEDICARE: MS. ERIN JOY WARREN PNP-AC/PC
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
1363LP0200XPediatric Nurse Practitioner201810268NP-PPOR

General Provider Information

NPI Number : 1427604586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN JOY WARREN PNP-AC/PC
Provider Business Mailing Address
First Line : PO BOX 4399
Second Line :
City : PORTLAND
State : OR
Zip : 97208-4399
Country : US
Telephone Number : 503-413-3900
Fax Number : 503-413-3710
Provider Business Practice Location Address
First Line : 2800 N VANCOUVER AVE STE 165
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1644
Country : US
Telephone Number : 503-413-2909
Fax Number : 503-413-5220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2019
Last Update Date : 10/04/2019

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