ANDREW B MENDENHALL MD NPI 1053347591

NPI Information

NPI: 1053347591
Provider Name: ANDREW B MENDENHALL, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1535 N WILLIAMS AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 238-2067
Get Directions

Andrew B Mendenhall, MD is an addiction medicine family medicine in Portland, OR. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Andrew B Mendenhall, MD NPI is 1053347591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1535 N WILLIAMS AVE
PORTLAND, OR
ZIP 97227-885
Phone: (503) 238-2067
Fax: (503) 238-2004

The NPI 1053347591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD24383	OREGON	No
2	207QA0401X	Family Medicine	Addiction Medicine	MD24383	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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