Providence Gorge Spine And Sports Medicine

LBN: Providence Health & Services- Oregon
Providence Gorge Spine And Sports Medicine is an health care organization with primary practice located at 4400 Ne Halsey St Bldg 2 , Portland OR 97213-1545. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Providence Health & Services- Oregon can be contacted via phone (425) 528-0543, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4400 Ne Halsey St Bldg 2 Portland OR 97213-1545
Phone: (425) 528-0543
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1609274133
LBN Legal business name Providence Health & Services- Oregon
DBA Doing business as Providence Gorge Spine And Sports Medicine
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2014
Last updated Dec 1st, 2022 - about 4 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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