HALE HEALTH LLC NPI 1134558976

NPI Information

NPI: 1134558976
Provider Name: HALE HEALTH, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 38D2088311

Address:
18813 SW MARTINAZZI AVE
TUALATIN, OR
ZIP 97062
Phone: (503) 765-5265
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HALE HEALTH, LLC is a health service clinic center in Tualatin, OR. HALE HEALTH, LLC NPI is 1134558976. The provider is registered as an organization entity type.

The provider's business location address is:

18813 SW MARTINAZZI AVE
TUALATIN, OR
ZIP 97062-807
Phone: (503) 765-5265
Fax: (503) 765-5265

The provider's authorized official is Constance Erickson .
The authorized official title is Co-owner and has the following contact phone number (503) 765-5265.

The CLIA number assigned to this NPI record is 38D2088311 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 12/5/2013.

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	261QH0100X	Clinic/Center	Health Service	1976	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1992132906	OTHER	OREGON	INDIVIDUAL NPI NUMBER
2	1316375439	OTHER	OREGON	INDIVIDUAL NPI NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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