Individual provider Active NPI

Sandra Eugenia Lohstroh

  • Family Nurse Practitioner
  • Canby, OR
National Provider Identifier
1770094682
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201808979NP Issued in OR
Practice address
178 SW 2ND Ave
Canby, OR 97013-4152
Phone
(503) 416-4547
Fax
(503) 416-4553
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201808979NP OR Primary

Addresses

Primary practice location

178 SW 2ND Ave
Canby, OR 97013-4152

Mailing address

13927 SE Tenino St
Portland, OR 97236-6633
Phone (503) 956-7850

Other practice location 1

728 Molalla Ave
Oregon City, OR 97045-2799
Phone (503) 656-9030

Other identifiers 1

IdentifierTypeStateIssuer
500764500MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190109001380 WA Practitioner - Nurse Practitioner 1052657269 Reassigns benefits to 1 organization
I20210107002731 OR Practitioner - Nurse Practitioner 1052657269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201808979NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County CurrentSince Dec 9, 2022 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 21, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 3, 2021 Accepting new patients
Multnomah County Current Accepting new patients
Multnomah County CurrentSince Dec 9, 2022 Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients
Neighborhood Health Center Past Accepting new patients
Neighborhood Health Center Past Accepting new patients

Locations

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

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

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

21430 SW Langer Farms Pkwy
Ste 158
Sherwood, OR 97140
Phone (971) 808-0655

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

8013 NE 6th Ave
Vancouver, WA 98665
Phone (360) 787-4151

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

Interoperability endpoints

  • Direct secure messaging: slohstroh3500403@oc.providencedirect.org

Organizations & group practices 9

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 1

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1770094682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13927 SE TENINO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972366633",
            "telephone_number": "503-956-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-416-4547",
            "fax_number": "503-416-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Molalla Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452799",
            "country_code": "US",
            "telephone_number": "503-656-9030",
            "fax_number": "503-656-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOHSTROH",
        "first_name": "SANDRA",
        "middle_name": "EUGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201808979NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500764500",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

Verify at the official NPI Registry.