NATIVE AMERICAN REHABILITATION ASSOC INC NPI 1134343213

NPI Information

  • NPI: 1134343213
  • Provider Name: NATIVE AMERICAN REHABILITATION ASSOC INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 1776 SW MADISON ST
    PORTLAND, OR
    ZIP 97205
  • Phone: (971) 386-2278

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NPI Details

NATIVE AMERICAN REHABILITATION ASSOC INC is a federally qualified health center (fqhc) clinic center in Portland, OR. NATIVE AMERICAN REHABILITATION ASSOC INC NPI is 1134343213. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1776 SW MADISON ST
PORTLAND, OR
ZIP 97205
Phone: (971) 386-2278
Fax: (503) 621-2235

The provider's authorized official is Sarah Ayers .
The authorized official title is Credentialing Specialist and has the following contact phone number (503) 367-9089.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/11/2025.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)OREGONYes

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
1R0000WCQLVOTHEROREGONPTAN (PART B)
2126370MEDICAIDOREGON

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: 3/30/2025

NPI Synchronization or Removal

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