MEDICARE: SAILOR HEALTH MEDICAL GROUP OF OREGON, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist
2	103TP2701X	Group Psychotherapy Psychologist
3	104100000X	Social Worker
4	101Y00000X	Counselor
5	101YM0800X	Mental Health Counselor
6	106H00000X	Marriage & Family Therapist
7	363LG0600X	Gerontology Nurse Practitioner
8	163WP0808X	Psychiatric/Mental Health Registered Nurse
9	2084P0800X	Psychiatry Physician
10	2084P0805X	Geriatric Psychiatry Physician
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
12	364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
13	103T00000X	Psychologist

General Provider Information

NPI Number	:	1366304784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAILOR HEALTH MEDICAL GROUP OF OREGON, P.C.

Provider Business Mailing Address
First Line	:	201 S BISCAYNE BLVD STE 2867
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-4330
Country	:	US
Telephone Number	:	786-269-0333
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S BISCAYNE BLVD STE 2867
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-4330
Country	:	US
Telephone Number	:	786-269-0333
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS ADMINISTRATOR
Name	:	MR. SAMI EL SOLH
Credential	:
Telephone Number	:	240-200-0173

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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