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PROVIDENCE HEALTH & SERVICES - OREGON NPI 1699876391


NPI Information

NPI: 1699876391
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PMG THE PLAZA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5050 NE HOYT ST
SUITE 454
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6405
Get Directions

PROVIDENCE HEALTH & SERVICES - OREGON is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1699876391. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmg The Plaza.

The provider's business location address is:

5050 NE HOYT ST
SUITE 454
PORTLAND, OR
ZIP 97213-984
Phone: (503) 215-6405
Fax: (503) 215-6429

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

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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
1R0000WCPFNMEDICARE PINOREGON
2048624MEDICAIDOREGON

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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