Active NPI
Bethany Joy Loehrke, CPM, LDM
- Midwife
- Gresham, OR
National Provider Identifier
1023629185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD-10209555
- Practice address
- 314 SE Beech Ave
Gresham, OR 97080-7723 - Phone
- (503) 475-4481
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | DEM-LD-10209555 | OR | Primary |
Addresses
Primary practice location
314 SE Beech Ave
Gresham, OR 97080-7723
Mailing address
PO Box 2011
Fairview, OR 97024-1810
Phone (971) 231-5232
Other practice location 1
815 SE 223rd Ave Apt 1
Gresham, OR 97030-2540
Phone (503) 475-4481
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Gresham | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEM-LD-10209555 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1023629185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2011",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970241810",
"telephone_number": "971-231-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 SE BEECH AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807723",
"telephone_number": "503-475-4481"
}
],
"practiceLocations": [
{
"address_1": "815 SE 223rd Ave Apt 1",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970302540",
"country_code": "US",
"telephone_number": "503-475-4481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOEHRKE",
"first_name": "BETHANY",
"middle_name": "JOY",
"credential": "CPM, LDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "OR",
"license": "DEM-LD-10209555",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Gresham",
"affiliation": "N",
"endpointDescription": "online charting system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "314 SE Beech Ave",
"city": "Gresham",
"state": "OR",
"country_code": "US",
"postal_code": "970807723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.