ERIN MARIE DITTMER (NPI# 1881006997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881006997 |
| Entity Type | Individual |
| Full Name | ERIN MARIE DITTMER |
| Credential | NP |
| Practice Address |
920 Royal Ave Medford OR 97504-6169 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417328400 |
| Practice Fax Number | 5417328401 |
| Mailing Telephone | 5417328400 |
| Mailing Fax Number | 5417328401 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201503484NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
18155 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
18155 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
920 ROYAL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927753 | Michael Steven Narus | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2005-07-26 |
| 1720424591 | Minji Kim | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2013-05-20 |
| 1790038495 | Jennifer Katharine Boudreaux | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2012-10-18 |
| 1578821013 | Sabre Amira Patton-fee | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504 | 2012-05-02 |
| 1689955536 | Pawani Sachar | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2011-09-06 |
| 1275821746 | Oregon Ear Nose and Throat Surgery | Clinic/Center | 920 Royal Ave, Medford, OR 97504-6169 | 2011-07-18 |
| 1063705887 | Providence Health & Services - Oregon | Clinic/Center | 920 Royal Ave, Medford, OR 97504-6169 | 2011-05-26 |
| 1639279243 | Donald M Olson | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216743 | Lisa Susan Williams | Nurse Practitioner | 76 Southaven Ave Ste 5, Medford, NY 11763-3745 | 2019-07-07 |
| 1003839424 | Christine Ann Stanek | Nurse Practitioner | 2859 State Street, Suite 101, Medford, OR 97504 | 2006-07-26 |
| 1114997244 | Eileen Weldon Stiles | Nurse Practitioner | 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 | 2006-01-23 |
| 1134129133 | Barbara Anne Stewart | Nurse Practitioner | 2960 Doctors Park Dr, Medford, OR 97504-8127 | 2005-08-01 |
| 1295391985 | Kag Professional Nurse Practioner In Adult Health Pllc | Nurse Practitioner | 3115 Horseblock Rd, Medford, NY 11763-2526 | 2019-05-17 |
| 1013458405 | Elysian Health | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2017-03-17 |
| 1801335336 | Julia Ann Smith | Nurse Practitioner | 811 W Broadway Ave, Medford, WI 54451-1307 | 2017-02-16 |
| 1528506334 | Rebecca Rampton | Nurse Practitioner | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-02-01 |
| 1700238623 | Courtney Nicholas | Nurse Practitioner | 1723 N Ocean Ave, Medford, NY 11763-2687 | 2016-07-02 |
| 1871983353 | Nancy Obispo | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2015-02-04 |
| Find all providers in MEDFORD | ||||
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| 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.