Providence Health & Services - Oregon in Clackamas - Clinic/center

Providence Health & Services - Oregon - NPI 1689836108

Providence Health & Services - Oregon is a Clinic/center in Clackamas, 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 1689836108. The last update date is 2021-04-16.

Providence Health & Services - Oregon's current location address is 9280 Se Sunnybrook Blvd, Clackamas, Oregon. You can contact this provider via phone number 5035131900. The mailing address for Providence Health & Services - Oregon is 9280 Se Sunnybrook Blvd, Clackamas, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Services - Oregon
Address 9280 Se Sunnybrook Blvd, Clackamas, Oregon
Phone Number 5035131900
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASST SEC F
Authorized Official Name Anderson Wayne Donald
Telephone Number 4255255392

NPI Number Detail

NPI Number 1689836108
Provider Enumeration Date 2008-06-26
Last Updated Date 2021-04-16

Provider Mailing Address Detail

Address 9280 Se Sunnybrook Blvd
City Clackamas
State Oregon (OR)
Post Code 970156776
Phone Number 5035131900
Fax Number

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
242397 OR --

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FAQs about Providence Health & Services - Oregon

What is the unique identifier code issued to Providence Health & Services - Oregon by the Centers for Medicare & Medicaid Services (CMS)?

The Providence Health & Services - Oregon has been assigned the NPI (National Provider Identifier) 1689836108. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Providence Health & Services - Oregon is located?

The Providence Health & Services - Oregon is situated at the following address: 9280 Se Sunnybrook Blvd, Clackamas, OR, 970156776.

What is Providence Health & Services - Oregon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Providence Health & Services - Oregon's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

On what date did the Providence Health & Services - Oregon receive its 1689836108 assignment from the Centers for Medicare & Medicaid Services?

The Providence Health & Services - Oregon was assigned its 1689836108 by the Centers for Medicare & Medicaid Services on 2008-06-26.

When was the Providence Health & Services - Oregon's information last updated?

The Providence Health & Services - Oregon's information was last updated on 2021-04-16.

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