SALLY J WENTROSS MD NPI 1083696058

NPI Information

  • NPI: 1083696058
  • Provider Name: SALLY J WENTROSS, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9701 SW BARNES RD
    SUITE 200
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 734-3700

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NPI Details

Sally J Wentross, MD is an obstetrics gynecology in Portland, OR. 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.

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 Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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
1207V00000XObstetrics & GynecologyMD17318OREGONYes

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
1049283MEDICAIDOREGON
2R108981OTHEROREGONMEDICARE PTAN
3F80739MEDICARE UPINOREGON

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: 11/21/2025

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