Organization Active NPI

Sendant MD,Inc.

  • Clinic/Center
  • West Linn, OR
National Provider Identifier
1194160515
Registry record updated Apr 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD20480 Issued in OR
Legal business name
SENDANT MD,INC.
Practice address
1750 Blankenship Rd
Suite 200
West Linn, OR 97068-5101
Phone
(503) 908-1590
NPI assigned
Apr 30, 2013
Last updated
Apr 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2014

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

Authorized official

Name
Matthew Jacobsen
Title
Business Manager
Phone
(503) 908-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD20480 OR Primary

Addresses

Primary practice location

1750 Blankenship Rd
Suite 200
West Linn, OR 97068-5101

Mailing address

1750 Blankenship Rd
Suite 200
West Linn, OR 97068-5101
Phone (503) 908-1590

National Provider Directory

National Provider Directory

Locations

1750 Blankenship Rd
Ste 200
West Linn, OR 97068
Phone (503) 908-1590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398470400000",
    "number": "1194160515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-908-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-908-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENDANT MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2014-04-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "503-908-1590"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD20480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2014; 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.