New Life Medical Consultants

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2009-0469 Issued in NM

Legal business name

NEW LIFE MEDICAL CONSULTANTS

Doing business as

RadianceMD

Practice address

14126 NW Dunbar LN
Portland, OR 97231

Phone

(503) 816-3091

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Ann Sanchez-Goettler, M.D.

Title

Medical Director

Phone

(503) 816-3091

Specialties & licenses 1

Addresses

Other names 2

• RadianceMD Doing business as
• Whole Person Centered Wellness Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1952631830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 185TH AVE # 384",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293406",
            "telephone_number": "503-816-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 NW DUNBAR LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97231",
            "telephone_number": "503-816-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ-GOETTLER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-816-3091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2009-0469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RadianceMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RadianceMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whole Person Centered Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• New Leaf Physical and Massage Therapy, LLC
• New Leaves Clinic LLC
• New Life Evangelical Ministries (New Life Recovery Oregon)
• New Living Hope Inc
• New Living Hope Inc
• New Moon Counseling
• New Narrative Pharmacy
• New Pathway Enterprise Inc

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.