Individual provider · Type 1 NPI

Ethan James Dentler, RPH

Pharmacist · Portland, OR

NPI number 1063378255 Active

Practice location

4849 NE 138th Ave
Portland, OR 97230-3401

Call (503) 257-3935 Map

Mailing address

18452 SE Stephens St
Portland, OR 97233-5537

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0020877 (OR)

Pharmacist: 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…

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About NPI 1063378255

Ethan James Dentler, RPH's National Provider Identifier is 1063378255, issued on Dec 31, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Jul 9, 2026.