Individual provider Active NPI

John P Deihl, MSW

  • Marriage & Family Therapist
  • Beaverton, OR
National Provider Identifier
1770617425
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0064 Issued in OR
Practice address
4900 SW Griffith Dr
Suite 239
Beaverton, OR 97005-5607
Phone
(503) 520-9977
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 720 OR
Marriage & Family Therapist 106H00000X T0064 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr
Suite 239
Beaverton, OR 97005-5607

Mailing address

4900 SW Griffith Dr
Suite 239
Beaverton, OR 97005-5607
Phone (503) 520-9977

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

State licenses

LicenseStateTypeSpecialty
720ORMDClinical Social Worker
T0064ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Lynn Pulliam PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770617425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 239",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-520-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "SUITE 239",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-520-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIHL",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "720",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.