PROVIDENCE HEALTH & SERVICES OREGON NPI 1629720479

NPI Information

NPI: 1629720479
Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
9205 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 215-1234
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PROVIDENCE HEALTH & SERVICES OREGON is a transplant surgery in Portland, OR. The provider is definition to come. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1629720479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9205 SW BARNES RD
PORTLAND, OR
ZIP 97225-603
Phone: (503) 215-1234

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

The enumeration date for this NPI number is 1/24/2022 and was last updated on 1/24/2022.

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	204F00000X	Transplant Surgery				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: 11/14/2023

NPI Synchronization or Removal

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