PROVIDENCE HEALTH & SERVICES - OREGON NPI 1598963936

NPI Information

NPI: 1598963936
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PROVIDENCE BEHAVIORAL HEALTH OUTPATIENT EAST

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5228 NE HOYT ST
BLDG B
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6474
Get Directions

PROVIDENCE HEALTH & SERVICES - OREGON is an adult mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1598963936. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Behavioral Health Outpatient East.

The provider's business location address is:

5228 NE HOYT ST
BLDG B
PORTLAND, OR
ZIP 97213-055
Phone: (503) 215-6474

The provider's authorized official is Mitchell Neyhart .
The authorized official title is Chief Finance Officer and has the following contact phone number (503) 574-9840.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 4/20/2010.

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
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	278950	MEDICAID	OREGON

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

NPI Synchronization or Removal

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