Portland Public School

LBN: Columbia Regional Program-Audiology
Portland Public School is an health care organization with primary practice located at 833 Ne 74Th Ave , Portland OR 97213-6232. The organization recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Columbia Regional Program-Audiology can be contacted via phone (503) 916-5570, or through Genze, Jay via phone (503) 916-5570.

Contact Information

Primary practice address
833 Ne 74Th Ave Portland OR 97213-6232
Phone: (503) 916-5570
Fax: (503) 916-2750
Website:
Map and Directions
Authorized official contact:
Name: Genze, Jay
Phone: (503) 916-5570

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1275778235
LBN Legal business name Columbia Regional Program-Audiology
DBA Doing business as Portland Public School
Authorized official Genze, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 17 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 1275778235 NPPES
Oregon MEDICAID 130293

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