Sandare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SANDARE LLC

Practice address

690 SW Stephenson St
Portland, OR 97219-7899

Phone

(503) 708-2165

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Sandra Lare, DO

Title

Owner

Phone

(503) 708-2165

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1295402634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 SW STEPHENSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197899",
            "telephone_number": "503-708-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SW STEPHENSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197899",
            "telephone_number": "503-708-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LARE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-708-2165",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanctuary Health LLC
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• Sanctuary of Our Sorrowful Mother
• Maile Boeke Sand, MA
• Rebecca Ann Sand, ND
• Arika Sandbach, PHARMD
• Ezra Aaron Sandberg-Lewis, LMT
• Kayle 'Spike' Sandberg-Lewis, LMT, MA
• Steven Sandberg-Lewis, N.D.
• Cynthia J. Sandberg, M.D.

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.