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CARBON HEALTH PRIMARY CARE OF FLORIDA PA NPI 1225793029


NPI Information

NPI: 1225793029
Provider Name: CARBON HEALTH PRIMARY CARE OF FLORIDA PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1005 SW MAIN ST
PORTLAND, OR
ZIP 97205
Phone: (503) 482-8904
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CARBON HEALTH PRIMARY CARE OF FLORIDA PA is a primary care clinic center in Portland, OR. CARBON HEALTH PRIMARY CARE OF FLORIDA PA NPI is 1225793029. The provider is registered as an organization entity type.

The provider's business location address is:

1005 SW MAIN ST
PORTLAND, OR
ZIP 97205-413
Phone: (503) 482-8904

The provider's authorized official is Gianna Papa .
The authorized official title is Credentialing Manager and has the following contact phone number (617) 894-1718.

The enumeration date for this NPI number is 11/5/2021 and was last updated on 1/27/2023.


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
1261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.