Individual provider Active NPI

Sheri Lee Laird, MD

  • Internal Medicine Physician
  • West Linn, OR
National Provider Identifier
1891731733
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD21936 Issued in OR
Practice address
1899 Blankenship Rd Ste A100
West Linn, OR 97068-4118
Phone
(503) 659-4988
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD21936 OR
Internal Medicine Physician 207R00000X MD21936 OR Primary

Addresses

Primary practice location

1899 Blankenship Rd Ste A100
West Linn, OR 97068-4118

Mailing address

PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4988

Other practice location 1

1750 Blankenship Rd
Suite 280
West Linn, OR 97068-5101
Phone (503) 496-0290

Other identifiers 1

IdentifierTypeStateIssuer
134282MedicaidOR

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
I20040706000201 OR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7315924602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

12119 SE Stevens CT
Happy Valley, OR 97086-2620
Phone (503) 353-1278

2020 8TH Ave
Suite 100
West Linn, OR 97068-4657
Phone (503) 659-4988

3033 SE Monroe St
Milwaukie, OR 97222-6636
Phone (503) 659-4988

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21936ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group, PC Internal Medicine CurrentSince May 30, 2024 Accepting new patients
Northwest Primary Care Group PC Current Accepting new patients
Northwest Primary Care Group PC PastSince Jul 28, 2024 Accepting new patients

Locations

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

1899 Blankenship Rd
Ste A100
West Linn, OR 97068

2020 8th Ave
Ste 100
West Linn, OR 97068
Phone (503) 353-1278

Interoperability endpoints

  • Direct secure messaging: sheri.laird.1@30939.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1891731733",
    "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": "503-659-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 BLANKENSHIP RD STE A100",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684118",
            "telephone_number": "503-659-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Blankenship Rd",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970685101",
            "country_code": "US",
            "telephone_number": "503-496-0290",
            "fax_number": "877-921-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "SHERI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD21936",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134282",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.