KENT MICHAEL SANDQUIST PA NPI 1407918501

NPI Information

  • NPI: 1407918501
  • Provider Name: KENT MICHAEL SANDQUIST, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 335 SW 13TH ST
    ONTARIO, OR
    ZIP 97914
  • Phone: (541) 889-8410

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NPI Details

Kent Michael Sandquist, PA is a medical physician assistant in Ontario, OR with 21 years of experience. Kent Michael Sandquist, PA NPI is 1407918501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

335 SW 13TH ST
ONTARIO, OR
ZIP 97914-547
Phone: (541) 889-8410
Fax: (541) 889-8093

The NPI 1407918501 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 12/14/2006 and was last updated on 1/13/2015.

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
1363AM0700XPhysician AssistantMedicalPA01105OREGONYes

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
1500636562MEDICAIDOREGON
2093WCRBVAMEDICARE PINOREGON
3PA01105OTHEROREGONLICENSE

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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