Active NPI
Joe-la Daniele Dewitt, D.O.
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO227852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245400571 | Medicaid | MI |
Other names 1
- Joe-la Dowdy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO227852 | OR | MD | Obstetrics & Gynecology Physician |
| OP70076199 | WA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Indiana, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| St. Joseph'S/Candler OB/GYN Practice, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Medical Group-Renton | Hospitalist | Current | 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.
-
- Obstetrics & Gynecology Physician
- Savannah, GA
- NPI 1730690561
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Obstetrics & Gynecology Physician
- Evansville, IN
- NPI 1811232218
-
- Specialist
- Savannah, GA
- NPI 1689843641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.