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PROVIDENCE HEALTH & SERVICES - OREGON NPI 1174918890


NPI Information

NPI: 1174918890
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PROVIDENCE PHYSICIANS INTENSIVISTS

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
9205 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 216-3191
Get Directions

PROVIDENCE HEALTH & SERVICES - OREGON is a critical care medicine internal medicine in Portland, OR. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1174918890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Physicians Intensivists.

The provider's business location address is:

9205 SW BARNES RD
PORTLAND, OR
ZIP 97225-603
Phone: (503) 216-3191
Fax: (503) 216-3190

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

The enumeration date for this NPI number is 3/31/2015 and was last updated on 6/19/2020.


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
1207RC0200XInternal MedicineCritical Care 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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