<Unavail>
LBN: Providence Health & Services Oregon
<Unavail> is an health care organization with primary practice located at 6410 Ne Halsey St Suite 300, Portland OR 97213-4749. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is the primary health care specialty.
Providence Health & Services Oregon can be contacted via phone (503) 215-4691, or through Anderson, Donald Wayne via phone (425) 358-9786.
Contact Information
Primary practice address
6410 Ne Halsey St Suite 300
Portland OR 97213-4749
Phone: (503) 215-4691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Oregon |
Profile Details
| NPI number | 1043366172 |
|---|---|
| LBN Legal business name | Providence Health & Services Oregon |
| DBA Doing business as | <Unavail> |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 16th, 2025 - about last year |
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 | 1043366172 | NPPES |
| Oregon | MEDICAID | 247685 |
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