NPIMap

Organization Active NPI

Elite Testosterone Clinic LLC

  • General Practice Physician
  • Beaverton, OR
National Provider Identifier
1235060179
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ELITE TESTOSTERONE CLINIC LLC
Practice address
14355 SW Allen Blvd Ste 250
Beaverton, OR 97005-4700
Phone
(503) 897-7329
Fax
(503) 386-3339
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Sarah ChicharroNPI 1790561298
Title
Medical Director
Phone
(503) 897-7329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14355 SW Allen Blvd Ste 250
Beaverton, OR 97005-4700

Mailing address

14355 SW Allen Blvd Ste 250
Beaverton, OR 97005-4700

National Provider Directory

National Provider Directory

Locations

14355 SW Allen Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 897-7329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1235060179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-897-7329",
            "fax_number": "503-386-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TESTOSTERONE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CHICHARRO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-897-7329"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.