Providence Newberg Oncology Palliative Care Clinic

LBN: Providence Health & Services -Oregon
Providence Newberg Oncology Palliative Care Clinic is an health care organization with primary practice located at 1003 Providence Dr Suite 310, Newberg OR 97132-7524. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services -Oregon can be contacted via phone (503) 537-6040, or through Freeman, Keenan B via phone (503) 593-6524.

Contact Information

Primary practice address
1003 Providence Dr Suite 310 Newberg OR 97132-7524
Phone: (503) 537-6040
Fax: (503) 537-6045
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Keenan B
Phone: (503) 593-6524

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1497187710
LBN Legal business name Providence Health & Services -Oregon
DBA Doing business as Providence Newberg Oncology Palliative Care Clinic
Authorized official Freeman, Keenan B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2013
Last updated Dec 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497187710 NPPES
Oregon MEDICAID 500661531

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