Individual provider Active NPI

Erin Joy Warren, PNP-AC/PC

  • Pediatric Nurse Practitioner
  • Tualatin, OR
National Provider Identifier
1427604586
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201810268NP-PP Issued in OR
Practice address
19250 SW 65TH Ave Ste 100
Tualatin, OR 97062-7707
Phone
(503) 691-2519
Fax
(503) 659-8984
NPI assigned
Aug 14, 2019
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 201810268NP-PP OR Primary

Addresses

Primary practice location

19250 SW 65TH Ave Ste 100
Tualatin, OR 97062-7707

Mailing address

19250 SW 65TH Ave Ste 100
Tualatin, OR 97062-7707
Phone (503) 691-2519

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004900 OR Practitioner - Nurse Practitioner 3274984703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 22, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 22, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Oregon Pediatrics- Meridian Park, LLC PastSince Jun 7, 2020 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2800 N Vancouver Ave
Ste 165
Portland, OR 97227
Phone (503) 413-2902

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1427604586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627707",
            "telephone_number": "503-691-2519",
            "fax_number": "503-659-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627707",
            "telephone_number": "503-691-2519",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ERIN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "PNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201810268NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.