Individual provider Active NPI

Chloe Anne Sandquist, M.D.

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1689891210
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD27263 Issued in OR
Practice address
9200 SE 91St Ave
Suite 320
Portland, OR 97086-3756
Phone
(503) 353-3005
Fax
(503) 546-3201
NPI assigned
Apr 18, 2007
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD27263 OR Primary

Addresses

Primary practice location

9200 SE 91St Ave
Suite 320
Portland, OR 97086-3756

Mailing address

9200 SE 91St Ave
Ste # 320
Portland, OR 97086-3756
Phone (503) 353-3005

Other identifiers 2

IdentifierTypeStateIssuer
858363004OtherORREGENCE BCBS
274377MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Surgical Specialists, PC Surgery PastSince Sep 1, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1689891210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "STE # 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-353-3005",
            "fax_number": "503-546-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-353-3005",
            "fax_number": "503-546-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDQUIST",
        "first_name": "CHLOE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD27263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "858363004",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274377",
            "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 Jun 8, 2011; 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.