=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780597948
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SANDRA CORTEZ
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 SW CAMPUS DR
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97239-3107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-494-8311
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8929 NE COLONNADE DR
-----------------------------------------------------
City | HILLSBORO
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97124-7782
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-494-8300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2279P1004X
-----------------------------------------------------
Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
-----------------------------------------------------
License Number | RT-P-10142556
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------