Organization Active NPI

Sports Health Northwest Inc

  • Sports Medicine (Family Medicine) Physician
  • Portland, OR
National Provider Identifier
1346863727
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SPORTS HEALTH NORTHWEST INC
Practice address
9600 SW Barnes Rd Ste 150
Portland, OR 97225-6622
Phone
(503) 747-6376
Fax
(503) 530-8406
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Dr. David N Westerdahl, M.D.NPI 1356305023
Title
Owner
Phone
(503) 747-6376

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
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

9600 SW Barnes Rd Ste 150
Portland, OR 97225-6622

Mailing address

9600 SW Barnes Rd Ste 150
Portland, OR 97225-6622
Phone (503) 747-6376

Other practice location 1

9600 SW Barnes Rd Ste 150
Portland, OR 97225-6622
Phone (503) 747-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624000579 OR Part B Supplier - Clinic/Group Practice 2668894411 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

11782 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 906-4300

9600 SW Barnes Rd
Ste 150
Portland, OR 97225
Phone (503) 747-6376

Practitioners & affiliated clinicians

Practitioners 2

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": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1346863727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256622",
            "telephone_number": "503-747-6376",
            "fax_number": "503-530-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256622",
            "telephone_number": "503-747-6376",
            "fax_number": "503-530-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 SW Barnes Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256622",
            "country_code": "US",
            "telephone_number": "503-747-6376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS HEALTH NORTHWEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "WESTERDAHL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-747-6376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.