HAZELDEN BETTY FORD FOUNDATION NPI 1063738185

NPI Information

NPI: 1063738185
Provider Name: HAZELDEN BETTY FORD FOUNDATION

Former Legal Business Name: HEALTHWORKS, NW

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 38D2083785

Address:
6600 SW 105TH AVE STE 120
BEAVERTON, OR
ZIP 97008
Phone: (800) 257-7800
Get Directions

HAZELDEN BETTY FORD FOUNDATION is a multi-specialty clinic center in Beaverton, OR. HAZELDEN BETTY FORD FOUNDATION NPI is 1063738185. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Healthworks, Nw.

The provider's business location address is:

6600 SW 105TH AVE STE 120
BEAVERTON, OR
ZIP 97008-800
Phone: (800) 257-7800

The provider's authorized official is Arnold Stueber .
The authorized official title is Cfo and has the following contact phone number (651) 213-4729.

The CLIA number assigned to this NPI record is 38D2083785 - other - outpatient substance use with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 3/28/2024.

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	261QM1300X	Clinic/Center	Multi-Specialty		OREGON	Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

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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