Providence Behavioral Health Outpatient East

LBN: Providence Health & Services - Oregon
Providence Behavioral Health Outpatient East is an health care organization with primary practice located at 5228 Ne Hoyt St Bldg B, Portland OR 97213-3055. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 215-6474, or through Neyhart, Mitchell via phone (503) 574-9840.

Contact Information

Primary practice address
5228 Ne Hoyt St Bldg B Portland OR 97213-3055
Phone: (503) 215-6474
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Neyhart, Mitchell
Phone: (503) 574-9840

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1598963936
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Behavioral Health Outpatient East
Authorized official Neyhart, Mitchell
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2007
Last updated Apr 20th, 2010 - about 16 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 1598963936 NPPES
Oregon MEDICAID 278950

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