Providence Porland Medical Center in Portland - Nursing Facility/intermediate Care Facility
Providence Porland Medical Center - NPI 1770776387
Providence Porland Medical Center is a Nursing Facility/intermediate Care Facility in Portland, Oregon. Providence Porland Medical Center practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Providence Porland Medical Center is 1770776387. The last update date is 2007-08-27.
Providence Porland Medical Center's current location address is 4805 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032151111. The mailing address for Providence Porland Medical Center is 4805 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Porland Medical Center |
|---|---|
| Address | 4805 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032151111 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RN/NURSE P |
|---|---|
| Authorized Official Name | Eells Lynn Terri |
| Telephone Number | 1503215615 |
NPI Number Detail
| NPI Number | 1770776387 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 4805 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132933 |
| Phone Number | 5032151111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 09000464RN |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique 10-digit identification code assigned to Providence Porland Medical Center by the Centers for Medicare & Medicaid Services?
The Providence Porland Medical Center has been issued the NPI (National Provider Identifier) 1770776387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Providence Porland Medical Center located?
The Providence Porland Medical Center is located at 4805 Ne Glisan St, Portland, OR 972132933.
What is Providence Porland Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Providence Porland Medical Center is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.
On what date did the Providence Porland Medical Center receive its 1770776387 assignment from the Centers for Medicare & Medicaid Services?
The Providence Porland Medical Center was assigned its 1770776387 by the Centers for Medicare & Medicaid Services on 2007-08-27.
As of what date was the information regarding Providence Porland Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Providence Porland Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-27.