Individual provider Active NPI

Deborah A. Loewer, FNP

  • Family Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1235136615
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000039204N1 Issued in OR
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000134MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090613000020 OR Practitioner - Nurse Practitioner 2062493455 Reassigns benefits to 1 organization

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
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

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

LicenseStateTypeSpecialty
000039204N1ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC Family CurrentSince Aug 20, 2019 Accepting new patients
Praxis Health, PC CurrentSince Aug 20, 2019 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

  • Direct secure messaging: dloewer@pacificmedicalgroup.directbygreenway.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.