Local City Search for Medical Equipment Suppliers PROVIDENCE HEALTH & SERVICES OREGON
Specialty Pharmacy
Portland, Oregon
Provider NPI: 1427132265
Organization Information:Organization Name: PROVIDENCE HEALTH & SERVICES OREGON
Practice Location:
6410 NE HALSEY ST SUITE 400 PORTLAND, OR 97213 US
Tel: 503-215-4652 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6410 NE HALSEY ST SUITE 400 PORTLAND, OR 97213 US
Tel: 503-215-4652 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
| N | 3336S0011X | Suppliers Pharmacy | OR | RP-0001136-CS |
| Y | 3336H0001X | Suppliers Pharmacy | OR | RP-0001136-CS |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 032016 | OR | 05 | |
| 1427132265 | MT | 05 | |
| PH001OR | AK | 05 | |
| 1044161 | WA | 05 | |
| 1427132265 | ID | 05 | |
| 1427132265 | UT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
