Joshua Thomas Demarest, IDHS

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2185 SE 12TH PL
Uscgc Alert (Wmec 630)
Warrenton, OR 97146

Phone

(503) 861-6240

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1184395741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 SE 12TH PL",
            "address_2": "USCGC ALERT (WMEC 630)",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-861-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 SE 12TH PL",
            "address_2": "USCGC ALERT (WMEC 630)",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "97146",
            "telephone_number": "503-861-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAREST",
        "first_name": "JOSHUA",
        "middle_name": "THOMAS",
        "credential": "IDHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza A Cua, MD
• Dana Lynn Cunningham
• Clarissa Jane Danielson
• Kelly Davis, CHW
• Janine Dean
• Jennifer Michelle Donohue
• Stacy Lynne Doty, COTA/L
• Karissa Doughty
• Jennifer Enriquez
• Kerry Johanna Farmer, MS CCC A

• Independent Duty Corpsman in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Independent Duty Corpsman in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.