Margo Renee Sperry-Hudson, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

15615 Issued in OR

Practice address

2230 NW Pettygrove St
Suite 110
Portland, OR 97210-2659

Phone

(503) 224-4804

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12838/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1043464910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 SE 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026205",
            "telephone_number": "503-891-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-224-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY-HUDSON",
        "first_name": "MARGO",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "15615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gordon Sperlin, MD
• Lisa Lee Sperlin, M.A.
• Jessica Anna Spero, L.AC.
• Leon Speroff, M.D.
• Julia Phipps Speros, PA-C
• Christi Coviello Sperry, M.S., AU.D
• Kim David Sperry
• Sara Spettel, MD
• Jennifer L Spezza, MS, FNP-C, CWOCN
• Scott Spicer

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.