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Erica Marie Divine, LPN
Licensed Practical Nurse in Beaverton, Oregon
NPI 1144633140

Erica Marie Divine is a Licensed Practical Nurse based in Beaverton, OR. Erica Marie Divine practices in Beaverton, OR and has the professional credentials of LPN. The NPI Number for Erica Marie Divine is 1144633140 and holds a License No. 201230646LPN (Oregon).

The current practice location address for Erica Marie Divine is 14095 Sw Walker Rd Apt 144, Beaverton, OR and can be reached out via phone at 503-415-1741.

Location: 14095 Sw Walker Rd Apt 144, Beaverton, OR, 97005-1075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144633140
Provider Name
Erica Marie Divine
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
14095 Sw Walker Rd Apt 144, Beaverton, OR, 97005-1075
Phone Number
503-415-1741
Fax Number
Provider Enumeration Date
06/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14095 Sw Walker Rd Apt 144
City
Beaverton
State
Oregon
Zip
97005-1075
Phone Number
503-415-1741
Fax Number
person
Provider Business Mailing Address Details
Address
14095 Sw Walker Rd Apt 144
City
Beaverton
State
Oregon
Zip
97005-1075
Phone Number
503-415-1741
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
201230646LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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