NPIMap

Individual provider Active NPI

Marilia Campos, MD

  • Nephrology Physician
  • Sherwood, OR
National Provider Identifier
1265953434
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD210050 Issued in OR
Practice address
20055 SW Pacific Hwy Ste 106
Sherwood, OR 97140-9294
Phone
(503) 749-9939
Fax
(503) 714-9620
NPI assigned
Jun 28, 2017
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X MD210050 OR Primary

Addresses

Primary practice location

20055 SW Pacific Hwy Ste 106
Sherwood, OR 97140-9294

Mailing address

20055 SW Pacific Hwy Ste 106
Sherwood, OR 97140-9294
Phone (503) 749-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913002401 OR Practitioner - Nephrology 6800168147 Practice locations: Sherwood, OR

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20055 SW Pacific Hwy
Suite 106
Sherwood, OR 97140-9294
Phone (541) 229-6622

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210050ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Kidney Care, LLC Nephrology CurrentSince Aug 20, 2025 Accepting new patients

Locations

20055 SW Pacific Hwy
Ste 106
Sherwood, OR 97140
Phone (503) 610-6145

Interoperability endpoints

  • Direct secure messaging: marilia.campos@1043571410665476.direct.elationemr.com
  • Direct secure messaging: mcamposulloa65572@direct.acumenmd.com

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1265953434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 106",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-749-9939",
            "fax_number": "503-714-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 SW PACIFIC HWY STE 106",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409294",
            "telephone_number": "503-749-9939",
            "fax_number": "503-714-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "MARILIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD210050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

Verify at the official NPI Registry.