Active NPI
Richard Randolph Sogn, M.D.
- Child & Adolescent Psychiatry Physician
- Portland, OR
National Provider Identifier
1639264856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 16216
- Practice address
- 9900 SW Wilshire Street
Suite 260
Portland, OR 97225-5025 - Phone
- (503) 292-4411
- Fax
- (503) 292-4298
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 16216 | OR | Primary |
Addresses
Primary practice location
9900 SW Wilshire Street
Suite 260
Portland, OR 97225-5025
Mailing address
9900 SW Wilshire Street
Suite 260
Portland, OR 97225-5025
Phone (503) 292-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042952 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16216 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1639264856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 SW WILSHIRE STREET",
"address_2": "SUITE 260",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255025",
"telephone_number": "503-292-4411",
"fax_number": "503-292-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 SW WILSHIRE STREET",
"address_2": "SUITE 260",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255025",
"telephone_number": "503-292-4411",
"fax_number": "503-292-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOGN",
"first_name": "RICHARD",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "16216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042952",
"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 Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.