Healthcare Provider Details

I. General information

NPI: 1508986530
Provider Name (Legal Business Name): KAMRAN PATRICK SAJADI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 SW BOND AVE CH10U
PORTLAND OR
97239-4501
US

IV. Provider business mailing address

3303 S BOND AVE
PORTLAND OR
97239-4501
US

V. Phone/Fax

Practice location:
  • Phone: 503-346-1500
  • Fax: 503-346-1501
Mailing address:
  • Phone: 503-346-1500
  • Fax: 503-346-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD154993
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberMD154993
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: