Providence Health & Services - Oregon in Portland - Clinic/center
Providence Health & Services - Oregon - NPI 1154427821
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 1154427821. The last update date is 2020-10-02.
Providence Health & Services - Oregon's current location address is 9427 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032162602 and fax number 5032162639. The mailing address for Providence Health & Services - Oregon is 9427 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 9427 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032162602 |
| Fax Number | 5032162639 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR REIMB |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1154427821 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2020-10-02 |
Provider Mailing Address Detail
| Address | 9427 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256652 |
| Phone Number | 5032162602 |
| Fax Number | 5032162639 |
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 |
|---|---|---|---|
| 129531 | OR | -- |
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What is the Providence Health & Services - Oregon's 1154427821?
The Providence Health & Services - Oregon's NPI (National Provider Identifier) Number is 1154427821. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Providence Health & Services - Oregon located?
The Providence Health & Services - Oregon is located at 9427 Sw Barnes Rd, Portland, OR 972256652.
When was the Providence Health & Services - Oregon's 1154427821 issued?
The Providence Health & Services - Oregon's 1154427821 was issued on 2006-09-16.
On what date did the Centers for Medicare & Medicaid Services issue the 1154427821 to Providence Health & Services - Oregon?
The Providence Health & Services - Oregon received its 1154427821 assignment from the Centers for Medicare & Medicaid Services on 2006-09-16.
When was the Providence Health & Services - Oregon's information last updated?
The Providence Health & Services - Oregon's information was last updated on 2020-10-02.
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