Providence Health & Services Washington in Portland - Nurse Practitioner

Providence Health & Services Washington - NPI 1033398763

Providence Health & Services Washington is a Nurse Practitioner in Portland, Oregon. Providence Health & Services Washington practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Providence Health & Services Washington is 1033398763. The last update date is 2017-10-30.

Providence Health & Services Washington's current location address is Po Box 3505, Portland, Oregon. You can contact this provider via phone number 4255256717 and fax number 4255256700. The mailing address for Providence Health & Services Washington is Po Box 3505, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Health & Services Washington
Address Po Box 3505, Portland, Oregon
Phone Number 4255256717
Fax Number 4255256700
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR R
Authorized Official Name Anderson Wayne Donald
Telephone Number 4255255392

NPI Number Detail

NPI Number 1033398763
Provider Enumeration Date 2007-10-30
Last Updated Date 2017-10-30

Provider Mailing Address Detail

Address Po Box 3505
City Portland
State Oregon (OR)
Post Code 972083505
Phone Number 4255256717
Fax Number 4255256700

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7135932 WA --
8901337 WA L&I CRIME VICTIMS
129210 WA L&I

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FAQs about Providence Health & Services Washington

What is the unique 10-digit identification 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) 1033398763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Providence Health & Services Washington's physical address?

The Providence Health & Services Washington is physically located at Po Box 3505, in the city of Portland, OR, with the postal code 972083505.

What is Providence Health & Services Washington's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Providence Health & Services Washington's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date was the 1033398763 assigned to Providence Health & Services Washington?

The Providence Health & Services Washington was issued its 1033398763 on 2007-10-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Providence Health & Services Washington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Providence Health & Services Washington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-30.

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