Providence Health & Services - Oregon in Gresham - Clinic/center
Providence Health & Services - Oregon - NPI 1053419218
Providence Health & Services - Oregon is a Clinic/center in Gresham, 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 1053419218. The last update date is 2023-08-31.
Providence Health & Services - Oregon's current location address is 440 Nw Division St, Gresham, Oregon. You can contact this provider via phone number 5032159500 and fax number 5032159525. The mailing address for Providence Health & Services - Oregon is 440 Nw Division St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 440 Nw Division St, Gresham, Oregon |
| Phone Number | 5032159500 |
| Fax Number | 5032159525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR REIMB |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1053419218 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-08-31 |
Provider Mailing Address Detail
| Address | 440 Nw Division St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970305506 |
| Phone Number | 5032159500 |
| Fax Number | 5032159525 |
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 |
|---|---|---|---|
| 287333 | OR | -- |
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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) 1053419218, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Providence Health & Services - Oregon's physical address?
The Providence Health & Services - Oregon is physically located at 440 Nw Division St, in the city of Gresham, OR, with the postal code 970305506.
What is the Providence Health & Services - Oregon's specialty and taxonomy code?
The Providence Health & Services - Oregon's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053419218 to Providence Health & Services - Oregon?
The Providence Health & Services - Oregon received its 1053419218 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
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 2023-08-31.