Individual provider · Type 1 NPI

Erin R. Medeiros, RN/QMHP-R

Registered Nurse · Portland, OR

NPI number 1639553563 Active

Practice location

703 NE Hancock St
Portland, OR 97212-3955

Call (503) 230-9875 Map

Fax (503) 331-3441

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 12360 E Burnside St, Portland, OR 97233-1042 · (971) 279-4800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X24-QMHP-R-2536 (OR)
Registered Nurse 163W00000XRN60589243 (WA)
Registered Nurse Primary 163W00000X201507345RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1639553563

Erin R. Medeiros, RN/QMHP-R's National Provider Identifier is 1639553563, issued on Jul 9, 2015. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Apr 17, 2025.