Individual provider Active NPI

N Michelle Sang, MD

  • Specialist
  • Portland, OR
National Provider Identifier
1700978046
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD20041 Issued in OR
Practice address
2701 NW Vaughn St
Ste 205
Portland, OR 97210-5352
Phone
(503) 227-4050
Fax
(503) 477-7673
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD20041 OR Primary

Addresses

Primary practice location

2701 NW Vaughn St
Ste 205
Portland, OR 97210-5352

Mailing address

1130 NW 22ND Ave
Suite 120
Portland, OR 97210-2900
Phone (503) 229-7353

Other identifiers 1

IdentifierTypeStateIssuer
081661MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000488 OR Practitioner - Obstetrics/Gynecology 9436046273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oregon Health Sciences University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Women'S Health CareGroup PAC ID 0648427351, 6 clinicians

Practice addresses (Care Compare)

2525 NW Lovejoy St
Suite 300
Portland, OR 97210-2864
Phone (503) 227-4050

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20041ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Apr 28, 2014 Accepting new patients
Synergy Women'S Health Care CurrentSince Jan 6, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 28, 2014 Accepting new patients
Portland Obstetrics & Gynecology Associates PC Specialist Current Accepting new patients

Locations

1130 NW 22nd Ave
Ste 120
Portland, OR 97210
Phone (503) 229-7353

2701 NW Vaughn St
Ste 205
Portland, OR 97210
Phone (503) 227-4050

2525 NW Lovejoy St
Ste 300
Portland, OR 97210
Phone (503) 227-4050

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nora.sang.1@4050.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1700978046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-229-7353",
            "fax_number": "503-229-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST",
            "address_2": "STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105352",
            "telephone_number": "503-227-4050",
            "fax_number": "503-477-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANG",
        "first_name": "N",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD20041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081661",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.