Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erin S Bolken, PAC

Individual provider Physician Assistant · NPI 1588816581

Erin S Bolken, PAC is a Physician Assistant in Portland, Oregon. Qualified in 2008, 18 years ago. Practices with Northwest Renal Clinic Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
18
Licensed in
OR, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4224 NE Halsey St Ste 300
Portland, OR 97213-1568
Phone: (503) 235-5509
Fax: (503) 235-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01401 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA61613222 (WA)

Record details

NPI number1588816581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northwest Renal Clinic Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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