Providence St Vincent Heart Clinics Cardiology Portland Clinic Beavert
LBN: Providence Health & Services - Oregon
Providence St Vincent Heart Clinics Cardiology Portland Clinic Beavert is an health care organization with primary practice located at 15950 Sw Millikan Way , Beaverton OR 97003-5170. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 297-6234, or through Freeman, Keenan B via phone (503) 893-6524.
Contact Information
Primary practice address
15950 Sw Millikan Way
Beaverton OR 97003-5170
Phone: (503) 297-6234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1790096873 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence St Vincent Heart Clinics Cardiology Portland Clinic Beavert |
| Authorized official | Freeman, Keenan B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Dec 24th, 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 | 1790096873 | NPPES |
| Oregon | MEDICAID | 500628337 |
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