Providence Health & Services - Oregon in Tigard - Clinic/center
Providence Health & Services - Oregon - NPI 1093815243
Providence Health & Services - Oregon is a Clinic/center in Tigard, 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 1093815243. The last update date is 2021-06-17.
Providence Health & Services - Oregon's current location address is 12442 Sw Scholls Ferry Rd, Tigard, Oregon. You can contact this provider via phone number 5032169200 and fax number 5032169220. The mailing address for Providence Health & Services - Oregon is 12442 Sw Scholls Ferry Rd, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
| Phone Number | 5032169200 |
| Fax Number | 5032169220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST SEC F |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1093815243 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2021-06-17 |
Provider Mailing Address Detail
| Address | 12442 Sw Scholls Ferry Rd |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972233396 |
| Phone Number | 5032169200 |
| Fax Number | 5032169220 |
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 |
|---|---|---|---|
| 63680 | OR | -- |
Post Comment/ Review Below
What is the Providence Health & Services - Oregon's 1093815243?
The Providence Health & Services - Oregon's NPI (National Provider Identifier) Number is 1093815243. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Providence Health & Services - Oregon is geographically located?
The Providence Health & Services - Oregon is physically situated at the following location: 12442 Sw Scholls Ferry Rd, Tigard, OR, 972233396.
What is the Providence Health & Services - Oregon's area of specialization and corresponding taxonomy classification?
The Providence Health & Services - Oregon's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When did the Providence Health & Services - Oregon receive its 1093815243?
The Providence Health & Services - Oregon was issued its 1093815243 on 2006-09-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Providence Health & Services - Oregon most recently updated or revised?
The details related to Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-17.