Provider Type Icon

OUTSIDE IN NPI 1568401347


NPI Information

NPI: 1568401347
Provider Name: OUTSIDE IN
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1132 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 535-3803
Get Directions

OUTSIDE IN is a federally qualified health center (fqhc) clinic center in Portland, OR. OUTSIDE IN NPI is 1568401347. The provider is registered as an organization entity type.

The provider's business location address is:

1132 SW 13TH AVE
PORTLAND, OR
ZIP 97205-703
Phone: (503) 535-3803
Fax: (503) 223-6837

The provider's authorized official is Bill Bradford .
The authorized official title is Finance Director and has the following contact phone number (503) 535-3803.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/21/2022.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)OREGONYes

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
1181599MEDICAIDOREGON

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.