Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Ericson, RD, LD

Individual provider Registered Dietitian · NPI 1710308804

Bethany Ericson, RD, LD is a Registered Dietitian OR Nutrition Professional in Ontario, Oregon. Qualified in 2012, 14 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Oregon.

Years since qualifying
14
Licensed in
ID, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

351 SW 9th St
Ontario, OR 97914-2639
Phone: (208) 899-7933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3325 Pocahontas Rd, Baker City, OR 97814-1464 — (541) 523-6461

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LDD10158487 (OR)
Registered Dietitian Taxonomy 133V00000X · Licence D-778 (ID)

Record details

NPI number1710308804
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedDecember 17, 2013
Last updated in NPPESAugust 15, 2019
Mailing address351 Sw 9th St, Ontario, OR 97914-2639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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