Impact Nw

LBN: Impact Nw
Impact Nw is an health care organization with primary practice located at 7211 Se 62Nd Ave , Portland OR 97206-7564. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Impact Nw can be contacted via phone (503) 489-7034, or through Adams, Amanda via phone (541) 227-8888.

Contact Information

Primary practice address
7211 Se 62Nd Ave Portland OR 97206-7564
Phone: (503) 489-7034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adams, Amanda
Phone: (541) 227-8888

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417495862
LBN Legal business name Impact Nw
DBA Doing business as
Authorized official Adams, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2017
Last updated Mar 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417495862 NPPES
Oregon MEDICAID 500721499

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