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ETHAN ADAMS LOWE DO
NPI 1164224663
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 25, 2025PECOS Enrolled
1015 NW 22ND AVE # GME, PORTLAND, OR 97210(503) 413-7711 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Adams Lowe Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN ADAMS LOWE DO (NPI 1164224663) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1164224663
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN ADAMS LOWECredential: DO
Location Address1015 NW 22ND AVE # GMEPortland, OR 97210-3025
Mailing Address235 N Pinedale WayEagle, ID 83616-4744 · (801) 602-2904
Phone(503) 413-7711
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1164224663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 NW 22ND AVE # GME, Portland, OR 97210
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Secondary Practice Location 1

Location 1501 N Graham StPortland, OR 97227-1654 · Phone (503) 413-2200 · Fax (503) 413-4898

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Adams Lowe Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Lowe's NPI number?

The NPI number for Ethan Lowe is 1164224663. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Ethan Lowe located?

Ethan Lowe practices at 1015 NW 22nd Ave # Gme, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Ethan Lowe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Lowe enrolled in Medicare?

Yes. Ethan Lowe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Lowe was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.