Providence Health & Services - Oregon in Portland - Dermatology
Providence Health & Services - Oregon - NPI 1891992624
Providence Health & Services - Oregon is a Dermatology in Portland, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Providence Health & Services - Oregon is 1891992624. The last update date is 2016-01-22.
Providence Health & Services - Oregon's current location address is 5330 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032159080. The mailing address for Providence Health & Services - Oregon is 5330 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 5330 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032159080 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Freeman B Keenan |
| Telephone Number | 5038936524 |
NPI Number Detail
| NPI Number | 1891992624 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2016-01-22 |
Provider Mailing Address Detail
| Address | 5330 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972133069 |
| Phone Number | 5032159080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6508 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Health & Services - Oregon by the Centers for Medicare & Medicaid Services?
The Providence Health & Services - Oregon has been assigned the NPI (National Provider Identifier) 1891992624. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Providence Health & Services - Oregon is physically located?
The Providence Health & Services - Oregon is situated at the following address: 5330 Ne Glisan St, Portland, OR 972133069.
What is Providence Health & Services - Oregon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Health & Services - Oregon's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When was the Providence Health & Services - Oregon's 1891992624 issued?
The Providence Health & Services - Oregon's 1891992624 was issued on 2007-06-27.
When was the information related to Providence Health & Services - Oregon most recently updated or refreshed?
The details pertaining to the Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-22.
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