PROFESSIONAL HEALTH CARE LLC NPI 1760628838

NPI Information

NPI: 1760628838
Provider Name: PROFESSIONAL HEALTH CARE LLC
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
Doing Business As: GET A FLU SHOT.COM
Address: 135 SE 102ND AVE
PORTLAND, OR
ZIP 97216
Phone: (503) 258-9800

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NPI Details

PROFESSIONAL HEALTH CARE LLC is a health service clinic center in Portland, OR. PROFESSIONAL HEALTH CARE LLC NPI is 1760628838. The provider is registered as an organization entity type.
The provider Is Doing Business As Get A Flu Shot.com.

The provider's business location address is:

135 SE 102ND AVE
PORTLAND, OR
ZIP 97216-703
Phone: (503) 258-9800
Fax: (503) 258-8311

The provider's authorized official is Stephen Allred .
The authorized official title is Nurse Practitioner and has the following contact phone number (503) 258-9800.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 12/19/2008.

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	261QH0100X	Clinic/Center	Health Service	081047114N3	OREGON	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	112014	MEDICARE PIN	OREGON
2	213900	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: 11/21/2025

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