Active NPI
Sidney Munoz
- Counselor
- Portland, OR
National Provider Identifier
1841087616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R11008
- Practice address
- 1730 SW Skyline Blvd Ste 104
Portland, OR 97221-2547 - Phone
- (971) 203-2326
- NPI assigned
- Apr 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | R11008 | OR | Primary |
Addresses
Primary practice location
1730 SW Skyline Blvd Ste 104
Portland, OR 97221-2547
Mailing address
16245 SW Audubon St Unit 102
Beaverton, OR 97003-2474
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11008 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1841087616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16245 SW AUDUBON ST UNIT 102",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970032474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 SW SKYLINE BLVD STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212547",
"telephone_number": "971-203-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "SIDNEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R11008",
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.