Active NPI
Northwest Newborn Specialists PC
- Neonatal-Perinatal Medicine Physician
- Portland, OR
National Provider Identifier
1205705043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- NORTHWEST NEWBORN SPECIALISTS PC
- Practice address
- 2801 N Gantenbein Ave
Portland, OR 97227-1623 - Phone
- (800) 243-3839
- Fax
- (855) 851-4402
- NPI assigned
- Oct 31, 2025
- Last updated
- Oct 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nanette Sanders
- Title
- Assistant Secretary
- Phone
- (800) 243-3839
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Pediatric Critical Care Medicine Physician | 2080P0203X |
Addresses
Primary practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1205705043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "800-243-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST NEWBORN SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "NANETTE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "800-243-3839"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Northwest Minimally Invasive Surgery, LLC
- Northwest Mobile Therapy
- Northwest Naturopathic Clinc
- Northwest Neuro-Ophthalmology LLC
- Northwest Neurological Specialists PC
- Northwest Optometric Associates Inc (ABC Vision Source Hillsdale)
- Northwest Pediatric Critical Care PC
- Northwest Pediatric Gastroenterology, LLC
- Northwest Pediatric Kidney Specialists LLC
- Northwest Periodontics and Dental Implants LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.