One Medical With Providence

LBN: Providence Health & Services Oregon
One Medical With Providence is an health care organization with primary practice located at 9205 Sw Barnes Rd Mt7878, Portland OR 97225-6603. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 216-4961, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
9205 Sw Barnes Rd Mt7878 Portland OR 97225-6603
Phone: (503) 216-4961
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1053403394
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as One Medical With Providence
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 4th, 2024 - about 8 months 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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