PROVIDENCE HEALTH & SERVICES OREGON NPI 1205924313

NPI Information

NPI: 1205924313
Provider Name: PROVIDENCE HEALTH & SERVICES OREGON

Doing Business As: PROVIDENCE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6410 NE HALSEY ST
SUITE 300
PORTLAND, OR
ZIP 97213
Phone: (503) 215-2273
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PROVIDENCE HEALTH & SERVICES OREGON is a hospice care community based in Portland, OR. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1205924313. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Hospice.

The provider's business location address is:

6410 NE HALSEY ST
SUITE 300
PORTLAND, OR
ZIP 97213-742
Phone: (503) 215-2273
Fax: (503) 215-8274

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Corp Secretary For Enrollments and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/21/2023.

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	251G00000X	Hospice Care, Community Based				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	241350	MEDICAID	OREGON

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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