Individual provider Active NPI

Bethany Joy Loehrke, CPM, LDM

  • Midwife
  • Gresham, OR
National Provider Identifier
1023629185
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM-LD-10209555 Issued in OR
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

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DEM-LD-10209555ORMDMidwife

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.

Verify at the official NPI Registry.