OPTUMCARE PORTLAND LLC NPI 1710003140

NPI Information

NPI: 1710003140
Provider Name: OPTUMCARE PORTLAND LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9450 SW BARNES RD STE 100
PORTLAND, OR
ZIP 97225
Phone: (503) 292-9560
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OPTUMCARE PORTLAND LLC is a general practice in Portland, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTUMCARE PORTLAND LLC NPI is 1710003140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9450 SW BARNES RD STE 100
PORTLAND, OR
ZIP 97225
Phone: (503) 292-9560
Fax: (503) 292-9510

The provider's authorized official is Brenda Castillo .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (503) 384-2027.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 12/5/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				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	810029000	OTHER	OREGON	REGENCE BLUE CROSS
2	DA6538	OTHER	OREGON	MEDICARE RAILROAD GROUP

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: 5/5/2024

NPI Synchronization or Removal

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