Providence Health & Services - Oregon in Portland - Clinic/center
Providence Health & Services - Oregon - NPI 1336311554
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 1336311554. The last update date is 2012-09-10.
Providence Health & Services - Oregon's current location address is 4805 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032161150 and fax number 5032161066. 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 | 5032161150 |
| Fax Number | 5032161066 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Freeman B Keenan |
| Telephone Number | 5035936524 |
NPI Number Detail
| NPI Number | 1336311554 |
|---|---|
| Provider Enumeration Date | 2008-03-27 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 4805 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132933 |
| Phone Number | 5032161150 |
| Fax Number | 5032161066 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
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 |
|---|---|---|---|
| 279129 | 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) 1336311554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Providence Health & Services - Oregon is physically located?
The Providence Health & Services - Oregon is physically situated at the following address: 4805 Ne Glisan St, Portland, OR, 972132933.
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 Providence Health & Services - Oregon receive its 1336311554 assignment?
The Providence Health & Services - Oregon was assigned its 1336311554 on 2008-03-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Providence Health & Services - Oregon most recently updated or refreshed?
The details pertaining to the Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-09-10.
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