Erica Marie Divine, LPN - Licensed Practical Nurse in Beaverton, OR

Erica Marie Divine, LPN is a Licensed Practical Nurse based in Beaverton, Oregon. Erica Marie Divine is licensed to practice in Oregon (license number 201230646LPN) and her current practice location is 14095 Sw Walker Rd Apt 144, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 415-1741.

NPI number for Erica Marie Divine is 1144633140 and her current mailing address is 14095 Sw Walker Rd Apt 144, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144633140.

Contact Information

Erica Marie Divine, LPN
14095 Sw Walker Rd Apt 144,
Beaverton, OR 97005-1075
(503) 415-1741
Not Available



Provider's Profile

Full NameErica Marie Divine
GenderFemale
SpecialityLicensed Practical Nurse
Location14095 Sw Walker Rd Apt 144, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144633140
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 06/06/2014

Medical Identifiers

Medical identifiers for Erica Marie Divine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144633140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 201230646LPN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Marie Divine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Erica Marie Divine, LPN
14095 Sw Walker Rd Apt 144,
Beaverton, OR 97005-1075

Ph: (503) 415-1741
Erica Marie Divine, LPN
14095 Sw Walker Rd Apt 144,
Beaverton, OR 97005-1075

Ph: (503) 415-1741

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Beaverton, OR

Mrs. Amy Suzanne Ficklin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 763 Nw Adwick Drive, Beaverton, OR 97006
Phone: 317-716-8197    
Gail Ann Burkee,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006
Phone: 503-213-3800    
Jamie Lutz-janway, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Sw Griffith Dr, Beaverton, OR 97005
Phone: 503-684-8159    Fax: 503-598-0934
Patricia Blake Hardy, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 7240 Sw Scholls Ferry Rd Apt 2, Beaverton, OR 97008
Phone: 503-317-3335    
Lea Marie Leavitt,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Sw Griffith Dr, Beaverton, OR 97005
Phone: 503-684-8159    Fax: 503-598-0934
Jennifer Nejedlo,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4650 Sw Griffith Dr, Beaverton, OR 97005
Phone: 503-684-8159    

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