Healthcare Provider Details

I. General information

NPI: 1285818823
Provider Name (Legal Business Name): SARAH COPELAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 N INTERSTATE AVE
PORTLAND OR
97227-1196
US

IV. Provider business mailing address

3550 N INTERSTATE AVE
PORTLAND OR
97227-1196
US

V. Phone/Fax

Practice location:
  • Phone: 503-331-5040
  • Fax: 503-331-5044
Mailing address:
  • Phone: 503-331-5040
  • Fax: 503-331-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD174468
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: