NPIMap

Organization Active NPI

Samuel Sabo DO

  • Primary Care Clinic/Center
  • Oregon City, OR
National Provider Identifier
1073834164
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
DO08518 Issued in OR
Legal business name
SAMUEL SABO DO
Practice address
18171 Waldow Rd
Oregon City, OR 97045-8818
Phone
(503) 655-6044
Fax
(503) 575-9171
NPI assigned
Jun 12, 2010
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Samuel Sabo, DO
Title
Physician
Phone
(503) 655-6044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X DO08518 OR Primary

Addresses

Primary practice location

18171 Waldow Rd
Oregon City, OR 97045-8818

Mailing address

18171 Waldow Rd
Oregon City, OR 97045-8818
Phone (503) 655-6044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1073834164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18171 WALDOW RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458818",
            "telephone_number": "503-655-6044",
            "fax_number": "503-575-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18171 WALDOW RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458818",
            "telephone_number": "503-655-6044",
            "fax_number": "503-575-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SABO DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-12",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-655-6044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "DO08518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.