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 |
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Authorized Official Name | Anderson W Donald |
Telephone Number | 4255255392 |
NPI Number Detail
NPI Number | 1285717728 |
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Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2020-08-04 |
Provider Mailing Address Detail
Address | Po Box 3396 |
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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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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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