Providence Sports Care Center

LBN: Providence Health & Services Oregon
Providence Sports Care Center is an health care organization with primary practice located at 909 Sw 18Th Ave , Portland OR 97205-1705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Cardiac Facilities, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 962-1900, or through Neyhart, Mitchell S. via phone (503) 893-6524.

Contact Information

Primary practice address
909 Sw 18Th Ave Portland OR 97205-1705
Phone: (503) 962-1900
Fax: (503) 962-1925
Website:
Map and Directions
Authorized official contact:
Name: Neyhart, Mitchell S.
Phone: (503) 893-6524

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Cardiac Facilities 261QR0404X

Profile Details

NPI number 1073802344
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Sports Care Center
Authorized official Neyhart, Mitchell S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2011
Last updated Apr 19th, 2012 - about 12 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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