PORTLAND ADVENTIST MEDICAL CENTER NPI 1215910302

NPI Information

NPI: 1215910302
Provider Name: PORTLAND ADVENTIST MEDICAL CENTER

Doing Business As: ADVENTIST HEALTH PORTLAND

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10000 SE MAIN ST
SUITE 116
PORTLAND, OR
ZIP 97216
Phone: (503) 251-6354
Get Directions

PORTLAND ADVENTIST MEDICAL CENTER is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORTLAND ADVENTIST MEDICAL CENTER NPI is 1215910302. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventist Health Portland.

The provider's business location address is:

10000 SE MAIN ST
SUITE 116
PORTLAND, OR
ZIP 97216
Phone: (503) 251-6354
Fax: (503) 251-6286

The provider's authorized official is Kyle King .
The authorized official title is Ceo and has the following contact phone number (503) 251-6842.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 1/6/2022.

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	207PE0005X	Emergency Medicine	Undersea and Hyperbaric Medicine	14 1127	OREGON	No
2	207R00000X	Internal Medicine		14 1127	OREGON	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	14 1127	OREGON	No
4	207RG0100X	Internal Medicine	Gastroenterology	14 1127	OREGON	No
5	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	14 1127	OREGON	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	14 1127	OREGON	No
7	207RR0500X	Internal Medicine	Rheumatology	14 1127	OREGON	No
8	207X00000X	Orthopaedic Surgery				No
9	2083X0100X	Preventive Medicine	Occupational Medicine	14 1127	OREGON	No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	14 1127	OREGON	No
11	208M00000X	Hospitalist		14 1127	OREGON	No
12	207Q00000X	Family Medicine		14 1127	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	0127633	OTHER	WASHINGTON	WA LABOR & INDUSTRIES
2	CH2083	OTHER	WASHINGTON	RAILROAD MEDICARE WA CLIN
3	0201918	OTHER	WASHINGTON	WA L&I (OCCMED CLINIC)
4	CI4927	OTHER	OREGON	RAILROAD MEDICARE OR CLIN

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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