Providence Health & Services - Oregon in Portland - End-stage Renal Disease (esrd) Treatment

Providence Health & Services - Oregon - NPI 1285717728

Providence Health & Services - Oregon is a End-stage Renal Disease (esrd) Treatment in Portland, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Providence Health & Services - Oregon is 1285717728. The last update date is 2020-08-04.

Providence Health & Services - Oregon's current location address is Po Box 3396, Portland, Oregon. You can contact this provider via phone number 5032154323 and fax number 5032150297. The mailing address for Providence Health & Services - Oregon is Po Box 3396, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Services - Oregon
Address Po Box 3396, Portland, Oregon
Phone Number 5032154323
Fax Number 5032150297
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIR REIMB
Authorized Official Name Anderson W Donald
Telephone Number 4255255392

NPI Number Detail

NPI Number 1285717728
Provider Enumeration Date 2006-10-20
Last Updated Date 2020-08-04

Provider Mailing Address Detail

Address Po Box 3396
City Portland
State Oregon (OR)
Post Code 972083396
Phone Number 5032154323
Fax Number 5032150297

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RS0004 OR PART B MEDICARE PTAN

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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?

The Providence Health & Services - Oregon has been assigned the NPI (National Provider Identifier) 1285717728. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Providence Health & Services - Oregon?

The Providence Health & Services - Oregon is situated at Po Box 3396, in the city of Portland, state of OR, with the zip code 972083396.

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

The area of specialization for Providence Health & Services - Oregon is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.

When was the Providence Health & Services - Oregon's 1285717728 issued?

The Providence Health & Services - Oregon's 1285717728 was issued on 2006-10-20.

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 2020-08-04.

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