Providence Health & Services Washington in Portland - Clinic/center

Providence Health & Services Washington - NPI 1063611408

Providence Health & Services Washington is a Clinic/center in Portland, Oregon. Providence Health & Services Washington practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Providence Health & Services Washington is 1063611408. The last update date is 2017-10-31.

Providence Health & Services Washington's current location address is Po Box 3505, Portland, Oregon. You can contact this provider via phone number 4255256717 and fax number 4255256700. The mailing address for Providence Health & Services Washington is Po Box 3505, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Services Washington
Address Po Box 3505, Portland, Oregon
Phone Number 4255256717
Fax Number 4255256700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR R
Authorized Official Name Anderson Wayne Donald
Telephone Number 4255255392

NPI Number Detail

NPI Number 1063611408
Provider Enumeration Date 2007-07-16
Last Updated Date 2017-10-31

Provider Mailing Address Detail

Address Po Box 3505
City Portland
State Oregon (OR)
Post Code 972083505
Phone Number 4255256717
Fax Number 4255256700

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No H-159
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8919875 WA L&I CRIME VICTIMS
129210 WA L&I
7115611 WA --

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FAQs about Providence Health & Services Washington

What is the unique 10-digit identification code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services?

The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1063611408 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Providence Health & Services Washington located?

The Providence Health & Services Washington is located at Po Box 3505, Portland, OR 972083505.

What is the area of specialization for Providence Health & Services Washington, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Providence Health & Services Washington is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.

On what date was the 1063611408 assigned to Providence Health & Services Washington?

The Providence Health & Services Washington was issued its 1063611408 on 2007-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Providence Health & Services Washington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Providence Health & Services Washington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-31.

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