Providence Connections Medical Group

LBN: Providence Health & Services Oregon
Providence Connections Medical Group is an health care organization with primary practice located at 6410 Ne Halsey St Suite 300, Portland OR 97213-4749. 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) 215-4691, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
6410 Ne Halsey St Suite 300 Portland OR 97213-4749
Phone: (503) 215-4691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Oregon

Profile Details

NPI number 1043366172
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Connections Medical Group
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 21st, 2023 - about 2 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 1043366172 NPPES
Oregon MEDICAID 247685

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