IndividualActive
Roderick Beaver, MD
NPI 1689615692 · Emergency Medicine Physician · Ilwaco, WA
Provider details
- NPI number
- 1689615692
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00041270 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
174 1st Ave N
Ilwaco, WA 98624-9137
Phone: (360) 448-0587
Street-level locationGet directions
Mailing address
34400 Ne Lester Ave
La Center, WA 98629-3413
Additional practice locations (1)
- 211 Ne Skyline DrWhite Salmon, WA 98672-1948Phone: (509) 493-1101
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.