Providence Health & Services - Oregon in Portland - Pediatric Surgery
Providence Health & Services - Oregon - NPI 1659451086
Providence Health & Services - Oregon is a Pediatric Surgery in Portland, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Providence Health & Services - Oregon is 1659451086. The last update date is 2010-04-20.
Providence Health & Services - Oregon's current location address is 1321 Ne 99th Ave, Portland, Oregon. You can contact this provider via phone number 5032168654 and fax number 5032168658. The mailing address for Providence Health & Services - Oregon is 1321 Ne 99th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 1321 Ne 99th Ave, Portland, Oregon |
| Phone Number | 5032168654 |
| Fax Number | 5032168658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Neyhart Mitchell |
| Telephone Number | 5035749840 |
NPI Number Detail
| NPI Number | 1659451086 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2010-04-20 |
Provider Mailing Address Detail
| Address | 1321 Ne 99th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972209436 |
| Phone Number | 5032168654 |
| Fax Number | 5032168658 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269957 | OR | -- |
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What is the unique 10-digit identification 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) 1659451086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Providence Health & Services - Oregon's facilities are situated?
The facilities of Providence Health & Services - Oregon are physically located at the following address: 1321 Ne 99Th Ave, Portland, OR, 972209436.
What is the Providence Health & Services - Oregon's area of specialization and corresponding taxonomy classification?
The Providence Health & Services - Oregon's specialty field is Pediatric Surgery, and it falls under the taxonomy code 2086S0120X, which categorizes healthcare providers based on their specialties.
When was the Providence Health & Services - Oregon's 1659451086 issued?
The Providence Health & Services - Oregon's 1659451086 was issued on 2006-10-17.
As of what date were the Providence Health & Services - Oregon's details last updated?
The information pertaining to the Providence Health & Services - Oregon, including its address, specialty, and other details, was most recently updated on 2010-04-20.
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