Active NPI
Sara K. Becker, MD
- Family Medicine Physician
- Milwaukie, OR
National Provider Identifier
1811970346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD11501
- Practice address
- 3033 SE Monroe St
Milwaukie, OR 97222-6636 - Phone
- (503) 659-4988
- Fax
- (503) 659-4730
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD11501 | OR | Primary |
Addresses
Primary practice location
3033 SE Monroe St
Milwaukie, OR 97222-6636
Mailing address
PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268508 | Medicaid | OR |
Other names 1
- Mr. Herbert Foresman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1811970346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22075",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972692075",
"telephone_number": "503-659-4777",
"fax_number": "503-652-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 SE MONROE ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226636",
"telephone_number": "503-659-4988",
"fax_number": "503-659-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "SARA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD11501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268508",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HERBERT",
"last_name": "FORESMAN",
"prefix": "MR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.