Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanjog Bastola, MD

Individual provider Internal Medicine Physician · NPI 1922459064

Sanjog Bastola, MD is an Internal Medicine Physician in Portland, Oregon. Works from 3 locations. Licensed in Michigan and Oregon.

Licensed in
MI, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6594
Fax: (503) 494-4285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 551-3000
  • 1111 Crater Lake Ave, Medford, OR 97504-6241 — (541) 732-5545

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1922459064 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301109761 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence MD191319 (OR)

Record details

NPI number1922459064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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