Sophia White
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1194351114
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1194351114
- Entity type
- Individual (NPI-1)
- Name
- Sophia White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2020
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD226361 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8211
Mailing address
10101 Se Main StPortland, OR 97216-2455
Phone 503-346-6400
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