OUTSIDE IN NPI 1831697259

NPI Information

NPI: 1831697259
Provider Name: OUTSIDE IN
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D2278125

Address:
4950 SE ROETHE RD
MILWAUKIE, OR
ZIP 97267
Phone: (503) 353-5847
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OUTSIDE IN is a federally qualified health center (fqhc) clinic center in Milwaukie, OR. OUTSIDE IN NPI is 1831697259. The provider is registered as an organization entity type.

The provider's business location address is:

4950 SE ROETHE RD
MILWAUKIE, OR
ZIP 97267-746
Phone: (503) 353-5847
Fax: (503) 467-5563

The provider's authorized official is Amy Dawn Moore .
The authorized official title is Medical Billing Manager and has the following contact phone number (503) 535-3842.

The CLIA number assigned to this NPI record is 38D2278125 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 6/16/2018.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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: 5/5/2024

NPI Synchronization or Removal

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