Organization Active NPI

Sage Cancer Care, LLC

  • Naturopath
  • Portland, OR
National Provider Identifier
1568964179
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1864 Issued in OR
Legal business name
SAGE CANCER CARE, LLC
Practice address
1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998
Phone
(503) 206-6218
Fax
(888) 972-1720
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Dave Allderdice, ND
Title
Owner, Naturopathic Doctor
Phone
(503) 206-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1864 OR Primary

Addresses

Primary practice location

1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998

Mailing address

1836 NE 7TH Ave Ste 205
Portland, OR 97212-3998
Phone (503) 206-6218

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1568964179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123998",
            "telephone_number": "503-206-6218",
            "fax_number": "888-972-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NE 7TH AVE STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123998",
            "telephone_number": "503-206-6218",
            "fax_number": "888-972-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CANCER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "ALLDERDICE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER, NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "503-206-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1864",
            "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 Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.