Active NPI
Charlene Sabin, M.D.
- Developmental - Behavioral Pediatrics Physician
- Portland, OR
National Provider Identifier
1477616845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- MD11303
- Practice address
- 106 SW Woods St
Portland, OR 97201-4739 - Phone
- (503) 282-6448
- Fax
- (503) 282-6473
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD11303 | OR | Primary |
Addresses
Primary practice location
106 SW Woods St
Portland, OR 97201-4739
Mailing address
PMB 753
4110 SE Hawthorne Blvd.
Portland, OR 97214-5246
Phone (503) 282-6473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285080 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11303 | OR | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1477616845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 753",
"address_2": "4110 SE HAWTHORNE BLVD.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972145246",
"telephone_number": "503-282-6473",
"fax_number": "503-282-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SW WOODS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972014739",
"telephone_number": "503-282-6448",
"fax_number": "503-282-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIN",
"first_name": "CHARLENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OR",
"license": "MD11303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285080",
"state": "OR"
}
],
"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 Jan 28, 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.