Dr. Joel'S Clinic

LBN: Joel Amundson Md Pc
Dr. Joel'S Clinic is an health care organization with primary practice located at 5231 Ne Martin Luther King Jr Blvd , Portland OR 97211-3235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Joel Amundson Md Pc can be contacted via phone (503) 342-2180, or through Amundson, Joel A via phone (503) 342-2180.

Contact Information

Primary practice address
5231 Ne Martin Luther King Jr Blvd Portland OR 97211-3235
Fax: (503) 208-8023
Website:
Authorized official contact:
Name: Amundson, Joel A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1558548529
LBN Legal business name Joel Amundson Md Pc
DBA Doing business as Dr. Joel'S Clinic
Authorized official Amundson, Joel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
Last updated Apr 12th, 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 1558548529 NPPES
Oregon Other 003334053 REGENCE BLUESHIELD
Oregon MEDICAID 278409 REGENCE BLUESHIELD

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