Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063378255 Individual Practitioner Male Practitioner

Ethan James Dentler , RPH

Pharmacist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Ethan Dentler, RPH is a registered healthcare professional specializing in Pharmacist in Portland, OR. Practice services are available at 4849 NE 138TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4849 Ne 138th Ave

Portland, OR 972303401

Telephone 5032573935
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1306956933

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
942 Specialists

Practicing in Portland, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-09
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR 0020877

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1093311961

Doctor of Pharmacy (Pharm.D.)

NPI 1194291591

Registered Pharmacist

Charles Byars , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1215392642

Registered Pharmacist

Marylou Wacek

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1336408616
Jeffrey Mangum

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1366724551
NPI 1437432226

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 09, 2026

Registered at 4849 NE 138TH AVE, PORTLAND, OR 972303401 (Tel: 5032573935)

NPI Profile Active December 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2025

Registered at 21365 SW BALER WAY, SHERWOOD, OR 971408989 (Tel: 5036106001)

📍
Updated Business Mailing Address December 31, 2025

Registered at 18452 SE STEPHENS ST, PORTLAND, OR 972335537

👤
Provider Name / Credentials Updated December 31, 2025

Recorded as ETHAN DENTLER, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2025

Pharmacist (License #0020877 in OR)

🟢
Initial NPI Registration & Enumeration December 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063378255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2025
Last Update: July 09, 2026
Sole Proprietor: No

Mailing Address

18452 Se Stephens St

Portland, OR 972335537

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.