PROVIDENCE HEALTH & SERVICES-OREGON NPI 1811384423

NPI Information

NPI: 1811384423
Provider Name: PROVIDENCE HEALTH & SERVICES-OREGON

Doing Business As: PROVIDENCE ELDER AT HOME

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4900 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 215-0750
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PROVIDENCE HEALTH & SERVICES-OREGON is a multi-specialty clinic center in Portland, OR. PROVIDENCE HEALTH & SERVICES-OREGON NPI is 1811384423. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Elder At Home.

The provider's business location address is:

4900 NE GLISAN ST
PORTLAND, OR
ZIP 97213-936
Phone: (503) 215-0750

The provider's authorized official is Mark L Metcalf .
The authorized official title is Director Of Finance and has the following contact phone number (503) 215-5491.

The enumeration date for this NPI number is 4/21/2015 and was last updated on 4/21/2015.

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 State	Primary
1	251B00000X	Case Management		OREGON	No
2	261Q00000X	Clinic/Center		OREGON	No
3	261QM1300X	Clinic/Center	Multi-Specialty	OREGON	Yes

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

NPI Synchronization or Removal

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