Individual provider Active NPI

Sandra Sequeira, M.D.

  • Pediatrics Physician
  • Happy Valley, OR
National Provider Identifier
1134110778
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD22596 Issued in OR
Practice address
9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Phone
(503) 261-1171
Fax
(503) 253-5989
NPI assigned
Nov 2, 2005
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD22596 OR Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762

Mailing address

9300 SE 91St Ave Ste 200
Happy Valley, OR 97086-3762
Phone (503) 261-1171

Other identifiers 1

IdentifierTypeStateIssuer
288346MedicaidOR

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22596ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC Pediatrics PastSince Nov 9, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ssequeira11498@direct.lhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1134110778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-261-1171",
            "fax_number": "503-253-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-261-1171",
            "fax_number": "503-253-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD22596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288346",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.