Oregon Sports Medicine Associates
NPI 1093713729ActiveOrganization· Specialist· Tigard, OR
Specialist in Tigard, Oregon, registered in NPPES in July 2005. The authorized official on file is Jonathan E. Greenleaf, M.D., President. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1093713729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Sep 26, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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