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PROVIDENCE HEALTH & SERVICES - OREGON NPI 1285717728


NPI Information

NPI: 1285717728
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PROVIDENCE ST. VINCENT MEDICAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
9205 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 215-4323
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PROVIDENCE HEALTH & SERVICES - OREGON is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1285717728. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St. Vincent Medical Center.

The provider's business location address is:

9205 SW BARNES RD
PORTLAND, OR
ZIP 97225-603
Phone: (503) 215-4323
Fax: (503) 215-0297

The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/4/2020.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RS0004OTHEROREGONPART B MEDICARE PTAN

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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