Active NPI
Erin Jamie Van Dyke, PA-C
- Medical Physician Assistant
- Tigard, OR
National Provider Identifier
1679805766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA157440
- Practice address
- 7300 SW Childs Rd Ste B
Tigard, OR 97224-7772 - Phone
- (503) 692-8700
- Fax
- (503) 692-8710
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA157440 | OR | |
| Medical Physician Assistant | 363AM0700X | PA157440 | OR | Primary |
Addresses
Primary practice location
7300 SW Childs Rd Ste B
Tigard, OR 97224-7772
Mailing address
7300 SW Childs Rd Ste B
Tigard, OR 97224-7772
Phone (503) 692-8700
Other names 1
- Erin Jamie Wheeler
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000971 | OR | Practitioner - Physician Assistant | 2668645649 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA157440 | OR | MD | Surgical Physician Assistant |
Organizations & group practices 1
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.
-
- Specialist
- Tigard, OR
- NPI 1093713729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1679805766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD STE B",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247772",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD STE B",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247772",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DYKE",
"first_name": "ERIN",
"middle_name": "JAMIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA157440",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA157440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "WHEELER",
"middle_name": "JAMIE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.