Active NPI
Beth Ditmarson, RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1720334816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6587
- Practice address
- 7216 SW Durham Rd
Suite 200
Portland, OR 97224-7594 - Phone
- (503) 718-5700
- NPI assigned
- Jul 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6587 | OR | Primary |
| Pharmacist | 183500000X | 32754 | CA |
Addresses
Primary practice location
7216 SW Durham Rd
Suite 200
Portland, OR 97224-7594
Mailing address
16787 SW Whitetail LN
Beaverton, OR 97007-6480
Phone (503) 701-7948
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32754 | CA | MD | Chiropractor |
| 6587 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1720334816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16787 SW WHITETAIL LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970076480",
"telephone_number": "503-701-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7216 SW DURHAM RD",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247594",
"telephone_number": "503-718-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITMARSON",
"first_name": "BETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "6587",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32754",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.