Individual provider Active NPI

Sari Natsu Matisoff Cook, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1316305121
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201705731NP-PP Issued in OR
Practice address
1827 NE 44TH Ave Ste 230
Portland, OR 97213-1443
Phone
(503) 477-4969
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201506864RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201705731NP-PP OR Primary

Addresses

Primary practice location

1827 NE 44TH Ave Ste 230
Portland, OR 97213-1443

Mailing address

1827 NE 44TH Ave Ste 230
Portland, OR 97213-1443

Other practice location 1

1500 NW Bethany Blvd
Beaverton, OR 97006-5208
Phone (503) 567-3260

Other practice location 2

55 NE Grand Ave
Portland, OR 97232-2968
Phone (503) 232-1099

Other names 1

  • Sari Natsu Matisoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Wild Therapy Center, LLC PastSince Mar 11, 2025 Accepting new patients

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1316305121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131443",
            "telephone_number": "503-477-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 NW Bethany Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970065208",
            "country_code": "US",
            "telephone_number": "503-567-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 NE Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322968",
            "country_code": "US",
            "telephone_number": "503-232-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SARI",
        "middle_name": "NATSU MATISOFF",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201506864RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201705731NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARI",
            "last_name": "MATISOFF",
            "middle_name": "NATSU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.