Providence Health & Services - Oregon in Portland - Clinic/center
Providence Health & Services - Oregon - NPI 1669552907
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 1669552907. The last update date is 2010-04-16.
Providence Health & Services - Oregon's current location address is 4805 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032162028 and fax number 5032162485. The mailing address for Providence Health & Services - Oregon is 4805 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 4805 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032162028 |
| Fax Number | 5032162485 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Neyhart Mitchell |
| Telephone Number | 5035749840 |
NPI Number Detail
| NPI Number | 1669552907 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2010-04-16 |
Provider Mailing Address Detail
| Address | 4805 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132933 |
| Phone Number | 5032162028 |
| Fax Number | 5032162485 |
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 |
|---|---|---|---|
| 22856 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Providence Health & Services - Oregon by the Centers for Medicare & Medicaid Services?
The Providence Health & Services - Oregon has been issued the NPI (National Provider Identifier) 1669552907, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Providence Health & Services - Oregon?
The Providence Health & Services - Oregon is physically situated at 4805 Ne Glisan St, in the city of Portland, state of OR, with the postal code 972132933.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1669552907 to Providence Health & Services - Oregon?
The Providence Health & Services - Oregon received its 1669552907 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to Providence Health & Services - Oregon last refreshed?
The information related to the Providence Health & Services - Oregon, including its address, specialty, and other relevant details, was last updated on 2010-04-16.