The Colon & Rectal Clinic

LBN: Surgical Specialty Group Pc
The Colon & Rectal Clinic is an health care organization with primary practice located at 511 Sw 10Th Avenue Suite 714, Portland OR 97205-2708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Surgical Specialty Group Pc can be contacted via phone (503) 222-1615, or through Veis, Olga Maria via phone (503) 222-1615.

Contact Information

Primary practice address
511 Sw 10Th Avenue Suite 714 Portland OR 97205-2708
Phone: (503) 222-1615
Fax: (503) 222-0016
Website:
Map and Directions
Authorized official contact:
Name: Veis, Olga Maria
Phone: (503) 222-1615

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1902978984
LBN Legal business name Surgical Specialty Group Pc
DBA Doing business as The Colon & Rectal Clinic
Authorized official Veis, Olga Maria
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 5th, 2013 - about 13 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 1902978984 NPPES
Oregon MEDICAID 084061

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