Providence Health & Services - Oregon in Portland - Clinic/center
Providence Health & Services - Oregon - NPI 1073604955
Providence Health & Services - Oregon is a Clinic/center in Portland, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Providence Health & Services - Oregon is 1073604955. The last update date is 2020-09-24.
Providence Health & Services - Oregon's current location address is 1321 Ne 99th Ave, Portland, Oregon. You can contact this provider via phone number 5032159900 and fax number 5032154055. 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 | 5032159900 |
| Fax Number | 5032154055 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR REIMB |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1073604955 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-09-24 |
Provider Mailing Address Detail
| Address | 1321 Ne 99th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972209437 |
| Phone Number | 5032159900 |
| Fax Number | 5032154055 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 198127 | OR | -- |
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What is the Providence Health & Services - Oregon's unique identification number?
The Providence Health & Services - Oregon has been assigned the NPI (National Provider Identifier) Number 1073604955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Providence Health & Services - Oregon?
The Providence Health & Services - Oregon is physically situated at 1321 Ne 99Th Ave, in the city of Portland, state of OR, with the postal code 972209437.
What is Providence Health & Services - Oregon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Providence Health & Services - Oregon is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
When did the Providence Health & Services - Oregon receive its 1073604955?
The Providence Health & Services - Oregon was issued its 1073604955 on 2006-09-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Providence Health & Services - Oregon most recently updated?
The details pertaining to the Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last refreshed on 2020-09-24.
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