Providence Pediatric Specialties Iii

LBN: Providence Health & Services - Oregon
Providence Pediatric Specialties Iii is an health care organization with primary practice located at 1321 Ne 99Th Ave Suite 200, Portland OR 97220-9436. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 216-8654, or through Neyhart, Mitchell via phone (503) 574-9840.

Contact Information

Primary practice address
1321 Ne 99Th Ave Suite 200 Portland OR 97220-9436
Phone: (503) 216-8654
Fax: (503) 216-8658
Website:
Map and Directions
Authorized official contact:
Name: Neyhart, Mitchell
Phone: (503) 574-9840

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X

Profile Details

NPI number 1659451086
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Pediatric Specialties Iii
Authorized official Neyhart, Mitchell
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 17th, 2006
Last updated Apr 20th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659451086 NPPES
Oregon MEDICAID 269957

Popular Providers