Providence Specialty Pharmacy Services-Ltc

LBN: Providence Health & Services - Oregon
Providence Specialty Pharmacy Services-Ltc is an health care organization with primary practice located at 6410 Ne Halsey St Suite 400, Portland OR 97213-4742. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 215-4633, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
6410 Ne Halsey St Suite 400 Portland OR 97213-4742
Phone: (503) 215-4633
Fax: (503) 215-0576
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X IP0001899-CS Oregon

Profile Details

NPI number 1336223171
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Specialty Pharmacy Services-Ltc
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336223171 NPPES
Oregon MEDICAID 233012
Oregon Other 3815315

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