Providence Heart Clinic At The Oregon Clinic Gateway
LBN: Providence Health & Services - Oregon
Providence Heart Clinic At The Oregon Clinic Gateway is an health care organization with primary practice located at 4400 Ne Halsey St Ste 102 , Portland OR 97213-1545. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 962-1000, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
4400 Ne Halsey St Ste 102
Portland OR 97213-1545
Phone: (503) 962-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1578854857 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Heart Clinic At The Oregon Clinic Gateway |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Jul 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578854857 | NPPES |
| Oregon | MEDICAID | 500639203 |
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6410 Ne Halsey St Suite 300, Portland OR 97213-4749 -
Providence Health & Services - Oregon
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