Most Relevant Information
Provider Data
| NPI Number: | 1003307158 |
| Provider Name: | ERICA KOLTENUK CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2018 |
| Last Updated: | 02/11/2022 |
Provider Practice Location
1003 N PROVIDENCE DR STE 340
NEWBERG
OR
971327521
Practice Location Phone/Fax
| Phone: | 5035382698 |
| Fax: | 5035549328 |
Provider Mailing Location
7650 SW BEVELAND RD STE 200
PORTLAND
OR
972238692
Provider Mailing Phone/Fax
| Phone: | 5036013615 |
| Fax: | 5036461683 |