Providence Oncology Palliative Care Clinic

LBN: Providence Health & Services - Oregon
Providence Oncology Palliative Care Clinic is an health care organization with primary practice located at 4805 Ne Glisan St Ste 6N50, Portland OR 97213-2933. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 215-1351, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N50 Portland OR 97213-2933
Phone: (503) 215-1351
Fax: (503) 215-1349
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1801193339
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Oncology Palliative Care Clinic
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2011
Last updated Jul 2nd, 2020 - about 4 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 1801193339 NPPES
Oregon MEDICAID 500633960

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