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PROVIDENCE HEALTH & SERVICES - OREGON NPI 1114255247


NPI Information

NPI: 1114255247
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PROVIDENCE OCCUPATIONAL MEDICINE-NW

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1750 NW NAITO PARKWAY
SUITE 100
PORTLAND, OR
ZIP 97209
Phone: (503) 216-7960
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PROVIDENCE HEALTH & SERVICES - OREGON is an occupational medicine clinic center in Portland, OR. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1114255247. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Occupational Medicine-nw.

The provider's business location address is:

1750 NW NAITO PARKWAY
SUITE 100
PORTLAND, OR
ZIP 97209-530
Phone: (503) 216-7960
Fax: (503) 227-6138

The provider's authorized official is Donald W Anderson .
The authorized official title is Reimbursement Director-administrati and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 3/30/2017.


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
1261QX0100XClinic/CenterOccupational MedicineYes

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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