SAWUBONA LLC NPI 1811519523

NPI Information

  • NPI: 1811519523
  • Provider Name: SAWUBONA, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 38D2238430
  • Address: 1675 SW MARLOW AVE STE 301
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 469-9818

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NPI Details

SAWUBONA, LLC is a general practice in Portland, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SAWUBONA, LLC NPI is 1811519523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1675 SW MARLOW AVE STE 301
PORTLAND, OR
ZIP 97225-105
Phone: (503) 469-9818
Fax: (503) 469-9870

The provider's authorized official is Lloyd A Fobi .
The authorized official title is Managing Parter and has the following contact phone number (541) 908-1117.

The CLIA number assigned to this NPI record is 38D2238430 - other - primary care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 5/15/2020.

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
1111N00000XChiropractorNo
2175F00000XNaturopathNo
3208D00000XGeneral PracticeYes

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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