Provider Demographics
NPI:1497917801
Name:SAPP, ROBERT FREDERICK (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:FREDERICK
Last Name:SAPP
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3390
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3390
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14040 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:MOUNT HOOD PARKDALE
Practice Address - State:OR
Practice Address - Zip Code:97041-7816
Practice Address - Country:US
Practice Address - Phone:503-337-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60229792207P00000X
ORMD154882207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine