Individual provider Active NPI

Eric Dahlen, PHARMD

  • Pharmacist
  • Hood River, OR
National Provider Identifier
1003365214
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13197 Issued in NE
Practice address
810 12TH St
Hood River, OR 97031-1587
Phone
(541) 387-6338
Fax
(541) 387-8213
NPI assigned
Sep 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13197 NE Primary
Pharmacist 183500000X 0013438 OR

Addresses

Primary practice location

810 12TH St
Hood River, OR 97031-1587

Mailing address

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13197NEMDMental Health Counselor
0013438ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1003365214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311587",
            "telephone_number": "541-387-6338",
            "fax_number": "541-387-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311587",
            "telephone_number": "541-387-6338",
            "fax_number": "541-387-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEN",
        "first_name": "ERIC",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13197",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.