Providence Breast Care Clinic - East
LBN: Providence Health & Services - Oregon
Providence Breast Care Clinic - East is an health care organization with primary practice located at 4805 Ne Glisan St Suite 6N50, Portland OR 97213-2933. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-7920, or through Freeman, Keenan B via phone (503) 893-6524.
Contact Information
Primary practice address
4805 Ne Glisan St Suite 6N50
Portland OR 97213-2933
Phone: (503) 215-7920
Fax: (503) 215-7905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1700166782 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Breast Care Clinic - East |
| Authorized official | Freeman, Keenan B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Jul 31st, 2014 - about 10 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 | 1700166782 | NPPES |
| Oregon | MEDICAID | 500639496 |
Popular Providers
-
Providence Health & Services - Oregon
9427 Sw Barnes Rd Suite 595, Portland OR 97225-6640 -
Providence Health & Services - Oregon
9155 Sw Barnes Rd Suite 317, Portland OR 97225-6630 -
David Naimon N.D., L.Ac., P.C.
2700 Se 26Th Ave Suite D, Portland OR 97202 -
South Tabor Family Physicians
10803 Se Cherry Blossom Dr , Portland OR 97216-3107 -
Childrens Cardiac Center Pc
9155 Sw Barnes Rd Suite 240, Portland OR 97225-6625 -
Planned Parenthood Of The Columbia/Willamette, Inc.
3727 Ne Martin Luther King Jr Blvd , Portland OR 97212-1112 -
Susan Strom, Dc, Pc
2456 Nw Northrup St Suite 1-A, Portland OR 97210-3253 -
The Golden Heart Center For Wellness, Llc
8113 Se 13Th Ave , Portland OR 97202-6607