Providence Hospitalists Southeast

LBN: Providence Milwaukie Hospital
Providence Hospitalists Southeast is an health care organization with primary practice located at 10150 Se 32Nd Ave , Milwaukie OR 97222-6516. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Providence Milwaukie Hospital can be contacted via phone (503) 513-8336, or through Olson, Eric via phone (503) 513-8308.

Contact Information

Primary practice address
10150 Se 32Nd Ave Milwaukie OR 97222-6516
Phone: (503) 513-8336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Eric
Phone: (503) 513-8308

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1689795478
LBN Legal business name Providence Milwaukie Hospital
DBA Doing business as Providence Hospitalists Southeast
Authorized official Olson, Eric
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Oct 30th, 2007 - about 17 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 1689795478 NPPES
Oregon MEDICAID 023300

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