Individual provider Active NPI

Sarah Jean McClure, CPM LDM

  • Midwife
  • Portland, OR
National Provider Identifier
1023514601
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LD-10190418 Issued in OR
Practice address
4801 NE 12TH Ave
Portland, OR 97211-4619
Phone
(503) 914-1476
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LD-10190418 OR Primary

Addresses

Primary practice location

4801 NE 12TH Ave
Portland, OR 97211-4619

Mailing address

4345 SE 47TH Ave
Portland, OR 97206-4059
Phone (517) 614-5411

Other identifiers 1

IdentifierTypeStateIssuer
LD-10190418OtherOROREGON STATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD-10190418ORMDMidwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1023514601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 SE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064059",
            "telephone_number": "517-614-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 NE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114619",
            "telephone_number": "503-914-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "CPM LDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "LD-10190418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSURE",
            "identifier": "LD-10190418",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.