BETHANY ERICSON


Address: 351 Sw 9th St, Ontario, OR 97914-2639
Phone: 2088997933

BETHANY ERICSON (NPI# 1710308804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710308804
Entity Type Individual
Full Name BETHANY ERICSON
Credential RD, LD
Practice Address 351 Sw 9th St
Ontario
OR 97914-2639
Practice Telephone 2088997933
Mailing Telephone 2088997933
Enumeration Date 2013-12-17
Last Update Date 2019-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LDD10158487 OR Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered D-778 ID Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3325 Pocahontas Rd, Baker City, OR 978141464 5415236461
351 Sw 9th St, Ontario, OR 979142639 2088997933

Other Providers BETHANY ERICSON

NPI Name Taxonomy Address Enumeration
1558739011 Bethany Ericson Speech-Language Pathologist 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 2015-09-14

Office Location

Street Address 351 SW 9TH ST
City ONTARIO
State OR
Zip Code 97914-2639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003870536 Brad Barlow Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2006-04-13
1790209898 Cep America LLC Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2017-07-31
1821538471 Lauren Parker Registered Nurse 351 Sw 9th St, Ontario, OR 97914-2639 2017-03-01
1588035885 Monument Emergency Physicians, LLC Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2015-10-13
1013385426 Valerie Lawrence Dietitian, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2015-09-02
1760872212 Ellie Nagel Dietitian, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2015-02-04
1891191599 Saint Alphonsus Hospital Rehabilitation Hospital 351 Sw 9th St, Ontario, OR 97914-2639 2014-11-07
1396164737 Jay Emergency Physicians LLC Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2014-04-14
1952741118 Ontario Emergency Specialists, LLC Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2013-07-02
1275852337 Saint Alphonsus Medical Center-ontario, Inc. Emergency Medicine 351 Sw 9th St, Ontario, OR 97914-2639 2010-05-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467925420 The Family Place D/b/a Tfp Services Therapeutic Case Manager/Care Coordinator 390 Ne 2nd St., Ontario, OR 97914 2019-01-02
1154805729 Ronald William Strohmeyer Physician Assistant 2327 S.w. 4th Ave, Ontario, OR 97914 2018-09-19
1700334117 Arlene Schwenke Social Worker 686 Nw 9th St., Ontario, OR 97914 2016-09-14
1871990408 Sally Melissa Sluder Nurse Practitioner 351 Sw 9th Ave, Ontario, OR 97914 2014-11-25
1932460870 E Patricia Jeanne Engel Surgery 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 2012-06-07
1487946521 Tyler Jepson Physical Therapist 1182 Sw 4th Avenue, Ontario, OR 97914 2011-05-09
1255641577 Cami Lyn Rebmann Pharmacist 728 S 4th Ave, Ontario, OR 97914 2010-10-20
1295051126 Project Dove Case Manager/Care Coordinator 915-02 Sw 2nd Ave, Ontario, OR 97914 2010-04-16
1467666024 Tfp Therapeutic Service, Inc. Counselor 390 Ne 2nd Street, Ontario, OR 97914 2007-05-10
1639381569 Emeritus Corporation Assisted Living Facility 1372 Southwest 8th Avenue, Ontario, OR 97914 2007-05-04
Find all providers in zip 97914

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457763179 Susan Jason Dietitian, Registered 6121 Slocum Rd, Ontario, NY 14519-9111 2014-05-29
1982029641 Lindsay Reay Grosvenor Dietitian, Registered 1108 Sw 4th St, Ontario, OR 97914-4305 2014-03-04
1225282387 Diana Torres Dietitian, Registered 3573 Old Archibald Ranch Rd, Ontario, CA 91761-9161 2008-11-14
1649823287 Kelly Ritchey Dietitian, Registered 715 Richland Mall, Ontario, OH 44906-3802 2019-07-23
1245686963 Nasira Burkholder-cooley Dietitian, Registered 603 S Milliken Ave, Suite F, Ontario, CA 91761-8102 2016-05-11
1013385426 Valerie Lawrence Dietitian, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2015-09-02
1760872212 Ellie Nagel Dietitian, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2015-02-04
1063833481 Lian Liu Dietitian, Registered 2295 S Vineyard Ave, Ontario, CA 91761-7925 2014-01-02
1588094056 Janelle Fraley Dietitian, Registered 1456 Park Ave W, Ontario, OH 44906-2700 2013-11-20
1073746889 Kristin Lee Mcelliott Dietitian, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2009-08-26
Find all providers in ONTARIO

Competitor

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City ONTARIO
Zip Code 97914

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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