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Deactivated NPI 1073506200 Deactivated / Inactive NPI Male Practitioner

Dr. Ivan Luis Sandoz , MD

Urology • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Sandoz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2005
NPI Deactivation Date December 29, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Sandoz, MD was a registered Urology practicing in Portland, OR. Throughout an active medical career spanning 12 years, Dr. Sandoz provided care at the practice location at 5050 NE HOYT ST until profile deactivation on 2017-12-29.

Practice Location & Contact Primary Location

Practice Address

5050 Ne Hoyt St
Suite 514

Portland, OR 972132991

Telephone 5034882323
Fax 5034882340
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
73 Specialists

Practicing in Portland, OR (201 Statewide)

Telehealth Adoption Rate
42.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD05957

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1013900059

Doctor of Medicine (M.D.)

Katarina Mcclung , PA

Physician Assistant

NPI 1053191700

Physician Assistant

NPI 1225328958

Doctor of Medicine (M.D.)

NPI 1487150132

Doctor of Medicine (M.D.)

NPI 1639556384

Doctor of Medicine (M.D.)

NPI 1679629927

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 29, 2017

Record deactivated on December 29, 2017

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2013

Registered at 5050 NE HOYT ST, SUITE 514, PORTLAND, OR 972132991 (Tel: 5034882323)

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Updated Business Mailing Address September 24, 2013

Registered at 847 NE 19TH AVE, SUITE 300, PORTLAND, OR 972322684 (Tel: 5039632801)

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Provider Name / Credentials Updated September 24, 2013

Recorded as IVAN SANDOZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Urology (License #MD05957 in OR)

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Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073506200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2005
Last Update: September 24, 2013
Deactivation Date: December 29, 2017

Mailing Address

847 Ne 19th Ave, Suite 300

Portland, OR 972322684

Phone: 5039632801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.