Healthcare Provider Details

I. General information

NPI: 1780597948
Provider Name (Legal Business Name): SANDRA CORTEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SW CAMPUS DR
PORTLAND OR
97239-3107
US

IV. Provider business mailing address

8929 NE COLONNADE DR
HILLSBORO OR
97124-7782
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-8311
  • Fax:
Mailing address:
  • Phone: 503-494-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License NumberRT-P-10142556
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: