Individual
ERICA MARISA JONES DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9701 SW BARNES RD STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201050172NP
OR
363LA2100X
Acute Care Nurse Practitioner
20152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010271
—
WA
05
—
500637823
—
OR
Enumeration date
08/24/2010
Last updated
12/17/2024
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