OREGON SCOTTISH RITE CLINICS NPI 1710023247

NPI Information

  • NPI: 1710023247
  • Provider Name: OREGON SCOTTISH RITE CLINICS
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 5125 SW MACADAM AVE
    SUITE 200
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 226-1048

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NPI Details

OREGON SCOTTISH RITE CLINICS is a voluntary or charitable in Portland, OR. OREGON SCOTTISH RITE CLINICS NPI is 1710023247. The provider is registered as an organization entity type.

The provider's business location address is:

5125 SW MACADAM AVE
SUITE 200
PORTLAND, OR
ZIP 97239-809
Phone: (503) 226-1048

The provider's authorized official is Phill Levinson .
The authorized official title is Executive Director and has the following contact phone number (503) 226-1048.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/24/2009.

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
1251V00000XVoluntary or Charitable235Z00000XOREGONYes

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
1838353006OTHEROREGONBLUECROSS
2247347MEDICAIDOREGON

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: 11/21/2025

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