IndividualActive
Scott Sudaisar
NPI 1649955980 · Prevention Professional · Sherwood, OR
Scott Sudaisar is a Prevention Professional provider in Sherwood, OR (NPI 1649955980).
Provider details
- NPI number
- 1649955980
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 083697 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22350 Sw Pine St
Sherwood, OR 97140-9075
Phone: (503) 349-5828
Street-level locationGet directions
Mailing address
Po Box 1238
Newberg, OR 97132-8238
Additional practice locations (1)
- 62910 O B Riley Rd Ste 301-BBend, OR 97703-8697Phone: (503) 349-5828
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Scott Sudaisar's NPI number?
- Scott Sudaisar's National Provider Identifier (NPI) is 1649955980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Sudaisar's specialty?
- Scott Sudaisar is listed in the NPPES registry with a primary specialty of Prevention Professional (Other Service Providers).
- Where is Scott Sudaisar located?
- Scott Sudaisar's practice location on file with NPPES is 22350 Sw Pine St, Sherwood, OR 97140-9075.
- What is Scott Sudaisar's phone number?
- The practice phone number listed in the NPPES registry for Scott Sudaisar is (503) 349-5828.
- Is Scott Sudaisar's NPI active?
- Yes — Scott Sudaisar's NPI (1649955980) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.