Individual provider Active NPI

Sophia Margareta Rothberger Lannon, MD

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1508061003
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD171676 Issued in OR
Practice address
5050 NE Hoyt St Ste 230
Portland, OR 97213-2981
Phone
(503) 482-1800
Fax
(503) 482-1805
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD171676 OR
Maternal & Fetal Medicine Physician 207VM0101X MD171676 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 230
Portland, OR 97213-2981

Mailing address

7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615

Other practice location 1

9701 SW Barnes Rd Ste 299
Portland, OR 97225-6689
Phone (503) 297-3660

Other identifiers 3

IdentifierTypeStateIssuer
0239220OtherWAL&I
1508061003MedicaidWA
500668537MedicaidOR

Other names 1

  • Sophia Margareta Rothberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001546 OR Practitioner - Obstetrics/Gynecology 0244306561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Healthcare Associates LLCGroup PAC ID 8527054014, 103 clinicians

Practice addresses (Care Compare)

9701 SW Barnes Rd
Suite 299
Portland, OR 97225-6689
Phone (503) 297-3660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD171676ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates, LLC CurrentSince Nov 29, 2015 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615

5050 NE Hoyt St
Ste 230
Portland, OR 97213
Phone (503) 482-1800

9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700

9701 SW Barnes Rd
Ste 299
Portland, OR 97225
Phone (503) 297-3660

Interoperability endpoints

  • Direct secure messaging: slannon12803@direct.lhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Womens Healthcare Associates LLCNewberg, OR, CCN 383922 Rural health clinic Corporate Director Jul 31, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1508061003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW BEVELAND RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238692",
            "telephone_number": "503-601-3615",
            "fax_number": "503-646-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132981",
            "telephone_number": "503-482-1800",
            "fax_number": "503-482-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 SW Barnes Rd Ste 299",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256689",
            "country_code": "US",
            "telephone_number": "503-297-3660",
            "fax_number": "503-297-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANNON",
        "first_name": "SOPHIA",
        "middle_name": "MARGARETA ROTHBERGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD171676",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD171676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0239220",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508061003",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668537",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "ROTHBERGER",
            "middle_name": "MARGARETA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.