Individual provider · Type 1 NPI

Erica Marie Divine, LPN

Licensed Practical Nurse · Beaverton, OR

NPI number 1144633140 Active

Practice location

14095 SW Walker Rd Apt 144
Beaverton, OR 97005-1075

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201230646LPN (OR)

Licensed Practical Nurse: 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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About NPI 1144633140

Erica Marie Divine, LPN's National Provider Identifier is 1144633140, issued on Jun 6, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 6, 2014.