HOUSECALL PROVIDERS INC NPI 1619915774

NPI Information

  • NPI: 1619915774
  • Provider Name: HOUSECALL PROVIDERS INC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 38D0858439
  • Address: 5100 SW MACADAM AVE
    SUITE 200
    PORTLAND, OR
    ZIP 97239
  • Phone: (971) 202-5500

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NPI Details

HOUSECALL PROVIDERS INC is a geriatric medicine family medicine in Portland, OR. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. HOUSECALL PROVIDERS INC NPI is 1619915774. The provider is registered as an organization entity type.

The provider's business location address is:

5100 SW MACADAM AVE
SUITE 200
PORTLAND, OR
ZIP 97239-102
Phone: (971) 202-5500
Fax: (971) 202-5555

The provider's authorized official is Benneth Ann Husted .
The authorized official title is Medical Director and has the following contact phone number (970) 202-5500.

The CLIA number assigned to this NPI record is 38D0858439 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/24/2013.

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
1251G00000XHospice Care, Community BasedOREGONNo
2207QG0300XFamily MedicineGeriatric MedicineYes

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
1381556MEDICARE OSCAR/CERTIFICATIONOREGON
2101558MEDICARE PIN
3150916MEDICAIDOREGON

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: 3/30/2025

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