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Erica Divine, LPN
NPI 1144633140 · on the registry since 2014 · sole proprietor
Practice
- Address
- 14095 Sw Walker Rd Apt 144
Beaverton, OR 97005 - Phone
- (503) 415-1741
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon