Organization · Type 2 NPI

Providence Health & Services - Oregon

Clinic/Center · Portland, OR

NPI number 1235259532 Active

Practice location

9205 SW Barnes Rd, Suite 20
Portland, OR 97225-6603

Call (503) 216-2229 Map

Fax (503) 216-4041

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

485 other providers at this address

Other clinic/center providers in Portland

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NPI record

NPI: 1235259532
Entity type: Organization (Type 2)
Issued: Mar 30, 2007
Last updated: Jun 20, 2013
Status: Active
Subpart: Yes of Prov St. Vincent Medical CTR

Other names

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Providence ST Vincent Department of Medicine · doing business as

Authorized official

Shelly Handkins
Chief Finance Officer
(503) 216-2229

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235259532

Providence Health & Services - Oregon's National Provider Identifier is 1235259532, issued on Mar 30, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2013.