Providence Health & Services- Washington in Portland - Rural Health
Providence Health & Services- Washington - NPI 1205931508
Providence Health & Services- Washington is a Rural Health in Portland, Oregon. Providence Health & Services- Washington practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Providence Health & Services- Washington is 1205931508. The last update date is 2023-08-01.
Providence Health & Services- Washington's current location address is Po Box 3360, Portland, Oregon. You can contact this provider via phone number 5038937120 and fax number 4252763215. The mailing address for Providence Health & Services- Washington is Po Box 3360, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services- Washington |
|---|---|
| Address | Po Box 3360, Portland, Oregon |
| Phone Number | 5038937120 |
| Fax Number | 4252763215 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST CORP |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1205931508 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2023-08-01 |
Provider Mailing Address Detail
| Address | Po Box 3360 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972083360 |
| Phone Number | 5038937120 |
| Fax Number | 4252763215 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7088495 | WA | RURAL MEDICAID | |
| GAB19139 | WA | MEDICARE B | |
| DA4754 | WA | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Providence Health & Services- Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services- Washington has been issued the NPI (National Provider Identifier) 1205931508 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Providence Health & Services- Washington is located?
The Providence Health & Services- Washington is situated at the following address: Po Box 3360, Portland, OR, 972083360.
What is Providence Health & Services- Washington's specialized field of practice, and what is the corresponding taxonomy classification code?
The Providence Health & Services- Washington's area of specialization is Rural Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205931508 to Providence Health & Services- Washington?
The Centers for Medicare & Medicaid Services originally issued the 1205931508 to Providence Health & Services- Washington on 2006-09-13.
As of what date were the details related to Providence Health & Services- Washington most recently updated or revised?
The information pertaining to Providence Health & Services- Washington, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-01.
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