Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649814617 Individual Practitioner Male Practitioner

Dr. Ethan Andrew Blashford , PharmD

Pharmacist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Blashford, PharmD is a registered healthcare professional specializing in Pharmacist in Portland, OR. Practice services are available at 1015 NW 22ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 Nw 22nd Ave

Portland, OR 972103025

Telephone 5034137415
Associated Practice Facility / Clinic
🏢 Diagnostic Imaging, Nw Pc Facility NPI 1396787727

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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR RPH-0016144

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
93-0386793 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tsyria Tang , DO

Internal Medicine

NPI 1003376120

Doctor of Osteopathic Medicine (D.O.)

Dr. Colton Boney , DO

Student in an Organized Health Care Education/Training Program

NPI 1013719996

Doctor of Osteopathic Medicine (D.O.)

Dr. Nickolas Rockenback , MD

Student in an Organized Health Care Education/Training Program

NPI 1013776178

Doctor of Medicine (M.D.)

Dr. Carolyn Rhett , MD

Emergency Medicine

NPI 1023039120

Doctor of Medicine (M.D.)

Dr. Brian Battalia , MD

Internal Medicine

NPI 1023060126

Doctor of Medicine (M.D.)

Dr. Judith Ray , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023152709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2019

Registered at 1015 NW 22ND AVE, PORTLAND, OR 972103025 (Tel: 5034137415)

📍
Updated Business Mailing Address November 03, 2019

Registered at 1015 NW 22ND AVE, PORTLAND, OR 972103025 (Tel: 5034137415)

👤
Provider Name / Credentials Updated November 03, 2019

Recorded as ETHAN BLASHFORD, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2019

Pharmacist (License #RPH-0016144 in OR)

🟢
Initial NPI Registration & Enumeration November 03, 2019

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: 1649814617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2019
Last Update: November 03, 2019
Sole Proprietor: No

Mailing Address

1015 Nw 22nd Ave

Portland, OR 972103025

Phone: 5034137415

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.