P3 Health Partners-Oregon Llc
LBN: P3 Health Partners-Oregon Llc
P3 Health Partners-Oregon Llc is an health care organization with primary practice located at 2525 12Th St Se Ste 240250 , Salem OR 97302-2281. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
P3 Health Partners-Oregon Llc can be contacted via phone (971) 701-9058, or through Bacchus, Amir via phone (702) 910-3950.
Contact Information
Primary practice address
2525 12Th St Se Ste 240250
Salem OR 97302-2281
Phone: (971) 701-9058
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1831708916 |
---|---|
LBN Legal business name | P3 Health Partners-Oregon Llc |
DBA Doing business as | |
Authorized official | Bacchus, Amir Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 24th, 2020 |
Last updated | Jul 24th, 2020 - about 5 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 | 1831708916 | NPPES |
Oregon | MEDICAID | PENDING |
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