Providence Health & Services-Oregon in Portland - Nursing Facility/intermediate Care Facility
Providence Health & Services-Oregon - NPI 1376625137
Providence Health & Services-Oregon is a Nursing Facility/intermediate Care Facility in Portland, Oregon. Providence Health & Services-Oregon practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Providence Health & Services-Oregon is 1376625137. The last update date is 2019-08-28.
Providence Health & Services-Oregon's current location address is 830 Ne 47th Ave, Portland, Oregon. You can contact this provider via phone number 5032152400 and fax number 5032150660. The mailing address for Providence Health & Services-Oregon is 830 Ne 47th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services-Oregon |
|---|---|
| Address | 830 Ne 47th Ave, Portland, Oregon |
| Phone Number | 5032152400 |
| Fax Number | 5032150660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST SEC E |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1376625137 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2019-08-28 |
Provider Mailing Address Detail
| Address | 830 Ne 47th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132212 |
| Phone Number | 5032152400 |
| Fax Number | 5032150660 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 1700250565 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1035453259 | OR | DEPT OF HUMAN SVCS | |
| 807297 | OR | -- | |
| 4570701 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Providence Health & Services-Oregon by the Centers for Medicare & Medicaid Services?
The Providence Health & Services-Oregon has been issued the NPI (National Provider Identifier) 1376625137, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (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: 830 Ne 47Th Ave, Portland, OR, 972132212.
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 Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of specialization is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376625137 to Providence Health & Services-Oregon?
The Centers for Medicare & Medicaid Services assigned the 1376625137 to Providence Health & Services-Oregon on 2006-10-20.
As of what date was the information pertaining to Providence Health & Services-Oregon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Providence Health & Services-Oregon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-28.