Providence Health & Services - Oregon in Portland - Long Term Care Pharmacy

Providence Health & Services - Oregon - NPI 1336223171

Providence Health & Services - Oregon is a Long Term Care Pharmacy in Portland, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Providence Health & Services - Oregon is 1336223171. The last update date is 2021-11-02.

Providence Health & Services - Oregon's current location address is Po Box 5936b, Portland, Oregon. You can contact this provider via phone number 5032155033 and fax number 5032150542. The mailing address for Providence Health & Services - Oregon is Po Box 5936b, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Services - Oregon
Address Po Box 5936b, Portland, Oregon
Phone Number 5032155033
Fax Number 5032150542
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1336223171
Provider Enumeration Date 2006-10-25
Last Updated Date 2021-11-02

Provider Mailing Address Detail

Address Po Box 5936b
City Portland
State Oregon (OR)
Post Code 972285936
Phone Number 5032155033
Fax Number 5032150542

Provider's Primary Taxonomy Detail

Speciality Long Term Care Pharmacy
Taxonomy 3336L0003X
Licence No IP0001899-CS
Definition:
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
233012 OR --
3815315 NCPDP

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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 (CMS)?

The Providence Health & Services - Oregon has been assigned the NPI (National Provider Identifier) 1336223171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Providence Health & Services - Oregon's facilities are situated?

The facilities of Providence Health & Services - Oregon are physically located at the following address: Po Box 5936B, Portland, OR, 972285936.

What is Providence Health & Services - Oregon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Providence Health & Services - Oregon's area of specialization is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336L0003X.

When did Providence Health & Services - Oregon receive its 1336223171 assignment?

The Providence Health & Services - Oregon was assigned its 1336223171 on 2006-10-25, which is the date when this unique identifier was issued to the organization.

When was the information related to Providence Health & Services - Oregon most recently updated or refreshed?

The details pertaining to the Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-02.

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