Individual provider Active NPI

Barbara Joan Dornblaser, STUDENT INTERN

  • Counselor
  • Tigard, OR
National Provider Identifier
1245637602
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464
Phone
(971) 864-0952
Fax
(971) 266-4521
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Adult Companion 372600000X

Addresses

Primary practice location

11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464

Mailing address

901 N Brutscher St # D141
Newberg, OR 97132-6096
Phone (718) 640-9529

Other names 1

  • Barbara Joan Guenther Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sanderson and Associates, LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

901 N Brutscher St
#D141
Newberg, OR 97132

11845 SW Greenburg Rd
Ste 210
Tigard, OR 97223
Phone (971) 264-0879

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1245637602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST # D141",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326096",
            "telephone_number": "718-640-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SW GREENBURG RD STE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236464",
            "telephone_number": "971-864-0952",
            "fax_number": "971-266-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBLASER",
        "first_name": "BARBARA",
        "middle_name": "JOAN",
        "credential": "STUDENT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GUENTHER",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.