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PROVIDENCE HEALTH & SERVICES OREGON NPI 1427132265


NPI Information

NPI: 1427132265
Provider Name: PROVIDENCE HEALTH & SERVICES OREGON

Doing Business As: PROVIDENCE SPECIALTY PHARMACY SERVICES-INFUSION/SPP

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
6410 NE HALSEY ST
SUITE 400
PORTLAND, OR
ZIP 97213
Phone: (503) 215-4652
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PROVIDENCE HEALTH & SERVICES OREGON is a home infusion therapy pharmacy pharmacy in Portland, OR. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1427132265. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Specialty Pharmacy Services-infusion/spp.

The provider's business location address is:

6410 NE HALSEY ST
SUITE 400
PORTLAND, OR
ZIP 97213-742
Phone: (503) 215-4652

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

The enumeration date for this NPI number is 10/25/2006 and was last updated on 5/6/2021.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
23336H0001XPharmacyHome Infusion Therapy PharmacyRP-0001136-CSOREGONYes
33336S0011XPharmacySpecialty PharmacyRP-0001136-CSOREGONNo

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
1032016MEDICAIDOREGON
21427132265MEDICAIDMONTANA
3PH001ORMEDICAIDALASKA
41044161MEDICAIDWASHINGTON
51427132265MEDICAIDIDAHO
61427132265MEDICAIDUTAH

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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