Providence Breast Care Clinic - West
LBN: Providence Health & Services - Oregon
Providence Breast Care Clinic - West is an health care organization with primary practice located at 9135 Sw Barnes Rd Suite 261, Portland OR 97225-6784. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-7920, or through Freeman, Keenan B via phone (503) 893-6524.
Contact Information
Primary practice address
9135 Sw Barnes Rd Suite 261
Portland OR 97225-6784
Phone: (503) 215-7920
Fax: (503) 215-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1346520327 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Breast Care Clinic - West |
| Authorized official | Freeman, Keenan B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Dec 30th, 2014 - about 12 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 | 1346520327 | NPPES |
| Oregon | MEDICAID | 500639495 |
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