Providence Physiatry

LBN: Providence Health & Services - Oregon
Providence Physiatry is an health care organization with primary practice located at 507 Ne 47Th Ave , Portland OR 97213-2236. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 215-8699, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
507 Ne 47Th Ave Portland OR 97213-2236
Phone: (503) 215-8699
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1912318130
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Physiatry
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2014
Last updated Apr 16th, 2021 - 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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