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PROVIDENCE HEALTH & SERVICES OREGON NPI 1831289826


NPI Information

NPI: 1831289826
Provider Name: PROVIDENCE HEALTH & SERVICES OREGON

Doing Business As: PROVIDENCE HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6410 NE HALSEY ST
SUITE 500
PORTLAND, OR
ZIP 97213
Phone: (503) 215-4663
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PROVIDENCE HEALTH & SERVICES OREGON is a durable medical equipment medical supplies in Portland, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1831289826. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Home Medical Equipment.

The provider's business location address is:

6410 NE HALSEY ST
SUITE 500
PORTLAND, OR
ZIP 97213-742
Phone: (503) 215-4663
Fax: (503) 215-4655

The provider's authorized official is Donald W Anderson .
The authorized official title is Asst Sec For Enroll/dir Reimb Admin and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/24/2023.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNPC-0002697OREGONNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1108837MEDICAIDOREGON

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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