DR. MARTINE RICHARDSON SACKS


Address: 830 Ne 47th Ave, Portland, OR 97213-2212
Phone: 5032152233

DR. MARTINE RICHARDSON SACKS (NPI# 1568680239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568680239
Entity Type Individual
Full Name DR. MARTINE RICHARDSON SACKS
Credential MD
Practice Address 830 Ne 47th Ave
Portland
OR 97213-2212
Mailing Address 3016 Ne 22nd Ave
Portland
OR 97212-3450
Practice Telephone 5032152233
Practice Fax Number 5032152478
Mailing Telephone 5032874243
Enumeration Date 2007-04-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
OR16111 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 830 NE 47TH AVE
City PORTLAND
State OR
Zip Code 97213-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053408005 Peter John Lax Dentist 830 Ne 47th Ave, Portland, OR 97213-2212 2006-10-09
1225521404 Lydia Eve Jahn Physical Therapist 830 Ne 47th Ave, Portland, OR 97213-2212 2018-06-12
1669970521 Gabriela Barajas Quiroz Peer Specialist 830 Ne 47th Ave, Portland, OR 97213-2212 2018-01-25
1053829663 Carol Lipson Criswell Peer Specialist 830 Ne 47th Ave, Portland, OR 97213-2212 2018-01-17
1649788241 Diane Cervi Peer Specialist 830 Ne 47th Ave, Portland, OR 97213-2212 2018-01-17
1740793579 Katie Lynn Harris Peer Specialist 830 Ne 47th Ave, Portland, OR 97213-2212 2017-11-15
1629597935 Paige Wollenzien Dietitian, Registered 830 Ne 47th Ave, Portland, OR 97213-2212 2017-09-18
1831631753 Darrick Stiff Speech-Language Pathologist 830 Ne 47th Ave, Portland, OR 97213-2212 2016-11-09
1871042044 Rebecca Spencer Speech-Language Pathologist 830 Ne 47th Ave, Portland, OR 97213-2212 2016-09-28
1508313842 Amy Grimm Physical Therapist 830 Ne 47th Ave, Portland, OR 97213-2212 2016-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477616845 Charlene Sabin Pediatrics 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 2006-12-18
1285604173 Donna K Kirchoff Pediatrics 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 2006-01-24
1023454089 Samantha Dunn Pediatrics 1577 Congress St, Portland, ME 04102-2169 2013-05-17
1114116969 Michele Raddish Pediatrics 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 2007-10-17
1457579914 Gisela Porras Serna Pediatrics 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 2007-04-23
1598834533 David W Willis Pediatrics 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225-5104 2006-11-06
1184704363 Kendra Higgins Farris Pediatrics 2801 N Gantenbein Ave, Pediatric Development & Rehabilitation Program, Portland, OR 97227-1623 2006-10-16
1124115936 Mary Lynn O'brien Pediatrics 3600 N Interstate Ave, Portland, OR 97227-1106 2006-10-05
1164517454 James N Powell Pediatrics 3600 N Interstate Ave, Portland, OR 97227-1106 2006-10-04
1508963380 Robin Nemer Mccoy Pediatrics 707 Sw Gaines St, Portland, OR 97239-2901 2006-09-20
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Competitor

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City PORTLAND
Zip Code 97213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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