Portland Preventive Cardiology Llc
LBN: Portland Preventive Cardiology Llc
Portland Preventive Cardiology Llc is an health care organization with primary practice located at 8855 Sw Canyon Ln , Portland OR 97225-3411. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Portland Preventive Cardiology Llc can be contacted via phone (503) 292-5678, or through Mays, Maureen Ellen via phone (503) 292-5678.
Contact Information
Primary practice address
8855 Sw Canyon Ln
Portland OR 97225-3411
Phone: (503) 292-5678
Fax: (503) 292-6665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | MD25708 | Oregon |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | MD25708 | Oregon |
Profile Details
| NPI number | 1912241746 |
|---|---|
| LBN Legal business name | Portland Preventive Cardiology Llc |
| DBA Doing business as | |
| Authorized official | Mays, Maureen Ellen MD, MS, FACC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912241746 | NPPES |
| Oregon | MEDICAID | 213623 |
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