SFM Portland LLC

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Legal business name

SFM PORTLAND LLC

Practice address

2055 NW Savier St Ste 150B
Portland, OR 97209-1770

Phone

(415) 964-5618

Fax

(415) 964-5619

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Peter Charles Klatsky, MD

Title

Owner

Phone

(415) 964-5618

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1669236303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM CT STE 110C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941090456",
            "telephone_number": "415-964-5618",
            "fax_number": "415-964-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 NW SAVIER ST STE 150B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091770",
            "telephone_number": "415-964-5618",
            "fax_number": "415-964-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFM PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "KLATSKY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-964-5618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Seymour, M.D.,M.P.H
• Shelby L Seymour, LMT
• Nicolas Seynhaeve
• Zofia Anna Sfenson
• Emily Sferra, DACM, LAC.
• Sge and Sakura Therapy, LLC
• Sean Eugene Sha, M.D.
• Steven Sha, DO
• Rasheed Hassan Shabazz
• Phoebe Shabram

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.