NPIMap

Organization Active NPI

Sara Wood, ND LLC

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
National Provider Identifier
1962799353
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
1551 Issued in OR
Legal business name
SARA WOOD, ND LLC
Practice address
4085 SW 109TH Ave
Suite 200
Beaverton, OR 97005-3000
Phone
(503) 643-1024
Fax
(503) 644-1293
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Sara Grace Wood, ND
Title
Owner
Phone
(503) 515-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1551 OR Primary

Addresses

Primary practice location

4085 SW 109TH Ave
Suite 200
Beaverton, OR 97005-3000

Mailing address

5310 SW Erickson Ave
Beaverton, OR 97005-3849
Phone (503) 515-8183

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1962799353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 SW ERICKSON AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053849",
            "telephone_number": "503-515-8183",
            "fax_number": "503-643-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH AVE",
            "address_2": "SUITE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053000",
            "telephone_number": "503-643-1024",
            "fax_number": "503-644-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA WOOD, ND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-515-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.