Providence Behavioral Health Outpatient East
LBN: Providence Health & Services - Oregon
Providence Behavioral Health Outpatient East is an health care organization with primary practice located at 5228 Ne Hoyt St Bldg B, Portland OR 97213-3055. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-6474, or through Neyhart, Mitchell via phone (503) 574-9840.
Contact Information
Primary practice address
5228 Ne Hoyt St Bldg B
Portland OR 97213-3055
Phone: (503) 215-6474
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
NPI number | 1598963936 |
---|---|
LBN Legal business name | Providence Health & Services - Oregon |
DBA Doing business as | Providence Behavioral Health Outpatient East |
Authorized official | Neyhart, Mitchell |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jul 6th, 2007 |
Last updated | Apr 20th, 2010 - about 14 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 | 1598963936 | NPPES |
Oregon | MEDICAID | 278950 |
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