PROV HEALTH SYS-OR SHARED SYS DIV NPI 1518251396

NPI Information

  • NPI: 1518251396
  • Provider Name: PROV HEALTH SYS-OR SHARED SYS DIV
  • Classification: Clinic/Center - 261QX0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • Doing Business As: PROVIDENCE EMPLOYEE CLINIC - THE PLAZA
  • Address: 5050 NE HOYT ST
    SUITE B48
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-6019

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NPI Details

PROV HEALTH SYS-OR SHARED SYS DIV is an occupational medicine clinic center in Portland, OR. PROV HEALTH SYS-OR SHARED SYS DIV NPI is 1518251396. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Employee Clinic - The Plaza.

The provider's business location address is:

5050 NE HOYT ST
SUITE B48
PORTLAND, OR
ZIP 97213-944
Phone: (503) 215-6019
Fax: (503) 215-6381

The provider's authorized official is Rebecca Marie Williams .
The authorized official title is Finance Director, Amb Services and has the following contact phone number (503) 893-6523.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.

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
1261QX0100XClinic/CenterOccupational 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: 11/21/2025

NPI Synchronization or Removal

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