SALLY J WENTROSS MD NPI 1083696058

NPI Information

NPI: 1083696058
Provider Name: SALLY J WENTROSS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: WOMEN'S HEALTHCARE ASSOCIATES LLC

PECOS Registration: Yes

Address:
9701 SW BARNES RD
SUITE 200
PORTLAND, OR
ZIP 97225
Phone: (503) 734-3700
Get Directions

Sally J Wentross, MD is an obstetrics gynecology in Portland, OR with 34 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Sally J Wentross, MD NPI is 1083696058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1990

The provider's business location address is:

9701 SW BARNES RD
SUITE 200
PORTLAND, OR
ZIP 97225-772
Phone: (503) 734-3700
Fax: (503) 473-8462

The NPI 1083696058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 6/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		MD17318	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	049283	MEDICAID	OREGON
2	R108981	OTHER	OREGON	MEDICARE PTAN
3	F80739	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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