SHADRACK MARVIN SANDVOLD LMT
NPI 1316008931
Specialist in Portland, OR

Active since December 13, 2006
1954 SE 182ND AVE, PORTLAND, OR 97233(503) 667-8988(503) 667-8988 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadrack Marvin Sandvold Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADRACK MARVIN SANDVOLD LMT (NPI 1316008931) is an individual specialist in Portland, Oregon, licensed in Oregon (5239) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1316008931
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSHADRACK MARVIN SANDVOLDCredential: LMT
Location Address1954 SE 182ND AVEPortland, OR 97233-5602
Mailing Address1954 Se 182nd AvePortland, OR 97233-5602 · (503) 667-8988 · Fax (503) 667-8988
Fax(503) 667-8988
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316008931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · 5239
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1954 SE 182ND AVE, Portland, OR 97233

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1954 SE 182ND AVE
PORTLAND, OR 97233
Chiropractor
1954 SE 182ND AVE
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadrack Sandvold's NPI number?

The NPI number for Shadrack Sandvold is 1316008931. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Shadrack Sandvold located?

Shadrack Sandvold practices at 1954 SE 182nd Ave, Portland, OR 97233. The listed phone number is (503) 667-8988.

What is Shadrack Sandvold's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shadrack Sandvold was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.