Individual provider Active NPI

Joe-la Daniele Dewitt, D.O.

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1245400571
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO227852 Issued in OR
Practice address
4805 NE Glisan St Unit 3K
Portland, OR 97213-2933
Phone
(503) 215-6150
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO227852 OR Primary
Obstetrics & Gynecology Physician 207V00000X OP70076199 WA
Hospitalist Physician 208M00000X OP70076199 WA
Obstetrics & Gynecology Physician 207V00000X 5101016130 MI

Addresses

Primary practice location

4805 NE Glisan St Unit 3K
Portland, OR 97213-2933

Mailing address

4805 NE Glisan St
Portland, OR 97213-2933

Other practice location 1

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-1000

Other practice location 2

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1050

Other identifiers 1

IdentifierTypeStateIssuer
1245400571MedicaidMI

Other names 1

  • Joe-la Dowdy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240611000689 GA Practitioner - Obstetrics/Gynecology 5193892735 Reassigns benefits to 1 organization
I20260212002492 WA Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 5193892735 Reassigns benefits to 1 organization
I20260406001257 OR Practitioner - Obstetrics/Gynecology 5193892735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Lind Ave SW
Suite 100
Renton, WA 98057-4970

PO
Pasadena, CA 91110

PO
Suite 4180
Pasadena, CA 91110-4180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO227852ORMDObstetrics & Gynecology Physician
OP70076199WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Indiana, PC Obstetrics & Gynecology CurrentSince Dec 2, 2020 Accepting new patients
St. Joseph'S/Candler OB/GYN Practice, LLC Obstetrics & Gynecology CurrentSince Apr 17, 2024 Accepting new patients
Valley Medical Group-Renton Hospitalist CurrentSince Feb 1, 2026 Accepting new patients
Karen L Fehr Dalessandromdpc Past Accepting new patients

Locations

5354 Reynolds St
Ste 422
Savannah, GA 31405
Phone (912) 354-2634

5354 Reynolds St
Ste 222
Savannah, GA 31405
Phone (912) 692-1080

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1245400571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 NE GLISAN ST UNIT 3K",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132933",
            "telephone_number": "503-215-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-690-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MI",
            "postal_code": "49930",
            "country_code": "US",
            "telephone_number": "906-483-1050",
            "fax_number": "906-372-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JOE-LA",
        "middle_name": "DANIELE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO227852",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP70076199",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "OP70076199",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245400571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE-LA",
            "last_name": "DOWDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.