Mitchell Sally, M.D.
Mitchell Sally, M.D. is a Trauma Surgery Physician in Portland, OR, registered under NPI 1932304284. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3181 SW SAM JACKSON PARK RD, Portland, OR 97239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD28096 | OR | Trauma Surgery Physician primary |
| MD28096 | OR | Surgical Critical Care Physician |
This provider holds licence MD28096 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 4880849520
- Enrollment ID
- I20130710000461
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Trauma Surgery covers
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. NUCC Health Care Provider Taxonomy, code 2086S0127X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0127X | Trauma Surgery Physician Trauma Surgery | MD28096 | OR | primary |
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | MD28096 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1932304284 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 18, 2007 |
| Last updated | Jun 20, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
3181 SW SAM JACKSON PARK RD Portland, OR 97239 (503) 494-8311 |
| Mailing address |
3908 NE 74TH AVE Portland, OR 97213 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 3 | 2 | 3 | 0 | 4 | 2 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 6 | 2 | 6 | 0 | 8 | 2 | 7 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.