Individual provider Active NPI

Erica Koltenuk, CNM

  • Advanced Practice Midwife
  • Newberg, OR
National Provider Identifier
1003307158
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201803964NP-PP Issued in OR
Practice address
1003 N Providence Dr Ste 340
Newberg, OR 97132-7521
Phone
(503) 538-2698
Fax
(503) 554-9328
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201803964NP-PP OR Primary

Addresses

Primary practice location

1003 N Providence Dr Ste 340
Newberg, OR 97132-7521

Mailing address

7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615

Other identifiers 1

IdentifierTypeStateIssuer
500751467MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306002160 OR Practitioner - Certified Nurse Midwife (CNM) 5294074415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Healthcare Associates LLCGroup PAC ID 8527054014, 103 clinicians

Practice addresses (Care Compare)

1003 Providence Dr
Suite 340
Newberg, OR 97132-7521
Phone (503) 538-2698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates, LLC CurrentSince Sep 3, 2025 Accepting new patients
Women'S Healthcare Associates, LLC CurrentSince Apr 11, 2022 Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 29, 2021 Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 29, 2021 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

333 SE 7th Ave
Ste 5500
Hillsboro, OR 97123
Phone (503) 597-4500

1003 N Providence Dr
Ste 340
Newberg, OR 97132
Phone (503) 538-2698

7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700

Interoperability endpoints

  • Direct secure messaging: ekoltenuk321372@direct.lhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1003307158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW BEVELAND RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238692",
            "telephone_number": "503-601-3615",
            "fax_number": "503-646-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N PROVIDENCE DR STE 340",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327521",
            "telephone_number": "503-538-2698",
            "fax_number": "503-554-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTENUK",
        "first_name": "ERICA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201803964NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500751467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.