Organization Active NPI

Ponderosa Health, LLC

  • Medical Specialty Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1649818972
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PONDEROSA HEALTH, LLC
Practice address
14523 Westlake Dr
Lake Oswego, OR 97035-7785
Phone
(503) 486-4081
Fax
(503) 868-4674
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Elizabeth Sandell, NDNPI 1134761638
Title
Naturopathic Physician
Phone
(503) 486-4081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

14523 Westlake Dr
Lake Oswego, OR 97035-7785

Mailing address

14523 Westlake Dr
Lake Oswego, OR 97035-7785
Phone (503) 486-4081

Other names 1

  • Ponderosa Health, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1649818972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357785",
            "telephone_number": "503-486-4081",
            "fax_number": "503-868-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357785",
            "telephone_number": "503-486-4081",
            "fax_number": "503-868-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "503-486-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponderosa Health, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ponderosa Health, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.