Active NPI
Deborah A. Loewer, FNP
- Family Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 000039204N1
- Practice address
- 4510 SW Hall Blvd
Beaverton, OR 97005-0504 - Phone
- (503) 644-1171
- Fax
- (503) 914-0335
- NPI assigned
- Jun 30, 2005
- Last updated
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 000039204N1 | OR | Primary |
Addresses
Primary practice location
4510 SW Hall Blvd
Beaverton, OR 97005-0504
Mailing address
4510 SW Hall Blvd
Beaverton, OR 97005-0504
Phone (503) 644-1171
Other practice location 1
10250 SW Greenburg Rd
4 Lincoln, Suite 110
Portland, OR 97223-5443
Phone (503) 293-4055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000134 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4510 SW Hall Blvd
Beaverton, OR 97005-0504
Phone (503) 644-1171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000039204N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Family | Current | Accepting new patients |
| Praxis Health, PC | Current | Accepting new patients | |
| Pacific Medical Group, PC | Past | Accepting new patients |
Locations
4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171
6445 N Greeley Ave
Portland, OR 97217
Phone (503) 283-6607
13200 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 598-2000
Interoperability endpoints
- dloewer@pacificmedicalgroup.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Lake Oswego, OR
- NPI 1477636561
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1235136615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050504",
"telephone_number": "503-644-1171",
"fax_number": "503-914-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050504",
"telephone_number": "503-644-1171",
"fax_number": "503-914-0335"
}
],
"practiceLocations": [
{
"address_1": "10250 SW Greenburg Rd",
"address_2": "4 Lincoln, Suite 110",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972235443",
"country_code": "US",
"telephone_number": "503-293-4055",
"fax_number": "503-293-8332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOEWER",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "000039204N1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000134",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.