ERICA MARISA JONES DEGENHARDT NP NPI 1851607196

NPI Information

  • NPI: 1851607196
  • Provider Name: ERICA MARISA JONES DEGENHARDT, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9701 SW BARNES RD STE 300
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 297-8081

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NPI Details

Erica Marisa Jones Degenhardt, NP is an acute care nurse practitioner in Portland, OR with 15 years of experience. Erica Marisa Jones Degenhardt, NP NPI is 1851607196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9701 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225-689
Phone: (503) 297-8081
Fax: (503) 292-6601

The NPI 1851607196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 12/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care20152CALIFORNIANo
2363LA2100XNurse PractitionerAcute Care201050172NPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500637823MEDICAIDOREGON
22010271MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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