Providence Hospice

LBN: Providence Health & Services Oregon
Providence Hospice is an health care organization with primary practice located at 6410 Ne Halsey St Suite 300, Portland OR 97213-4742. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-2273, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
6410 Ne Halsey St Suite 300 Portland OR 97213-4742
Phone: (503) 215-2273
Fax: (503) 215-8274
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1205924313
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Hospice
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 21st, 2023 - about last year

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 1205924313 NPPES
Oregon MEDICAID 241350

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