NPIMap

Individual provider Active NPI

Jane Ellen Sonneland, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1356392658
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD09031 Issued in OR
Practice address
6026 N Michigan Ave
Portland, OR 97217-1805
Phone
(503) 752-8550
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD09031 OR Primary

Addresses

Primary practice location

6026 N Michigan Ave
Portland, OR 97217-1805

Mailing address

6026 N Michigan Ave
Portland, OR 97217-1805
Phone (503) 752-8550

Other identifiers 2

IdentifierTypeStateIssuer
213322MedicaidOR
P00604898OtherORRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150225002406 CA Practitioner - Family Practice 2860450624 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133417CAMDMarriage & Family Therapist
MD09031ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Jan 5, 2015 Accepting new patients
Open Door Community Health Centers CurrentSince Jan 5, 2015 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Pacific Medical Group, PC Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Dignity Health Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Catholic Healthcare West Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

670 9th St
Ste 203
McKinleyville, CA 95521

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288

Organizations & group practices 10

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1356392658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 N MICHIGAN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171805",
            "telephone_number": "503-752-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 N MICHIGAN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972171805",
            "telephone_number": "503-752-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNELAND",
        "first_name": "JANE ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD09031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213322",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00604898",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.