Active NPI
Yale Sands Popowich, M.D.
- Plastic Surgery Physician
- Portland, OR
National Provider Identifier
1942231014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD26661
- Practice address
- 1200 NW Naito Parkway
Suite 310
Portland, OR 97209 - Phone
- (503) 292-9200
- Fax
- (503) 292-9205
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD26661 | OR | Primary |
Addresses
Primary practice location
1200 NW Naito Parkway
Suite 310
Portland, OR 97209
Mailing address
1200 NW Naito Parkway
Suite 310
Portland, OR 97209
Phone (503) 292-9200
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1942231014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NW NAITO PARKWAY",
"address_2": "SUITE 310",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-292-9200",
"fax_number": "503-292-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW NAITO PARKWAY",
"address_2": "SUITE 310",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97209",
"telephone_number": "503-292-9200",
"fax_number": "503-292-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOWICH",
"first_name": "YALE",
"middle_name": "SANDS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OR",
"license": "MD26661",
"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 Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.