Providence Eastside Oncology & Hematology Clinic
LBN: Providence Health & Services - Oregon
Providence Eastside Oncology & Hematology Clinic is an health care organization with primary practice located at 4805 Ne Glisan St Ste 11N , Portland OR 97213-2933. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-5696, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
4805 Ne Glisan St Ste 11N
Portland OR 97213-2933
Phone: (503) 215-5696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1316197692 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Eastside Oncology & Hematology Clinic |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2008 |
| Last updated | Apr 16th, 2021 - about 3 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 | 1316197692 | NPPES |
| Oregon | MEDICAID | 270985 |
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Providence Health & Services Oregon
4805 Ne Glisan St Ste 11N , Portland OR 97213-2933