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PORTLAND ADVENTIST MEDICAL CENTER NPI 1376526244


NPI Information

NPI: 1376526244
Provider Name: PORTLAND ADVENTIST MEDICAL CENTER

Doing Business As: ADVENTIST HEALTH HOME INFUSION THERAPY

Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 38D0671820

Address:
10123 SE MARKET ST
PORTLAND, OR
ZIP 97216
Phone: (503) 251-6301
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PORTLAND ADVENTIST MEDICAL CENTER is a home infusion in Portland, OR. PORTLAND ADVENTIST MEDICAL CENTER NPI is 1376526244. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Home Infusion Therapy.

The provider's business location address is:

10123 SE MARKET ST
PORTLAND, OR
ZIP 97216-532
Phone: (503) 251-6301

The provider's authorized official is Joyce L Newmyer .
The authorized official title is Ceo and has the following contact phone number (503) 257-2500.

The CLIA number assigned to this NPI record is 38D0671820 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 8/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251F00000XHome Infusion14 1127OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10796690001MEDICARE NSCOREGON

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

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