Active NPI
Beatrice Fowler, MS,MN
- Family Nurse Practitioner
- Oregon City, OR
National Provider Identifier
1609939024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200550179
- Practice address
- 1001 Molalla Ave Ste 100
Oregon City, OR 97045 - Phone
- (503) 656-5273
- Fax
- (503) 650-4828
- NPI assigned
- Dec 18, 2006
- Last updated
- Mar 5, 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 | 200550179 | OR | Primary |
Addresses
Primary practice location
1001 Molalla Ave Ste 100
Oregon City, OR 97045
Mailing address
1001 Molalla Ave Ste 100
Oregon City, OR 97045-3753
Phone (503) 656-5273
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1100
Other practice location 2
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1100
Other names 1
- Beatrice McMillan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200550179 | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1609939024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MOLALLA AVE STE 100",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453753",
"telephone_number": "503-656-5273",
"fax_number": "503-650-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MOLALLA AVE STE 100",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-656-5273",
"fax_number": "503-650-4828"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "BEATRICE",
"credential": "MS,MN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200550179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATRICE",
"last_name": "MCMILLAN",
"credential": "MS,MN,FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.