Bywater Health, Llc

LBN: Bywater Health, Llc
Bywater Health, Llc is an health care organization with primary practice located at 1923 Ne Broadway St Unit 8 , Portland OR 97232-1501. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Bywater Health, Llc can be contacted via phone (503) 975-9398, or through Williamson, Charles Eugene via phone (504) 434-9164.

Contact Information

Primary practice address
1923 Ne Broadway St Unit 8 Portland OR 97232-1501
Phone: (503) 975-9398
Fax: (503) 221-8320
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Charles Eugene Nurse Practitioner (NP)
Phone: (504) 434-9164

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1356192652
LBN Legal business name Bywater Health, Llc
DBA Doing business as
Authorized official Williamson, Charles Eugene Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2024
Last updated May 31st, 2024 - about last year

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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