EVERNORTH CARE PROVIDERS ARIZONA PC
NPI 1538842208
General Practice in Portland, OR

Active since August 09, 2023
121 SW MORRISON ST STE 525, PORTLAND, OR 97204(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evernorth Care Providers Arizona Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS ARIZONA PC (NPI 1538842208) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since August 2023. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1538842208
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS ARIZONA PC
Location Address121 SW MORRISON ST STE 525Portland, OR 97204-3247
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
NPI 1538842208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
121 SW MORRISON ST STE 525, Portland, OR 97204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
121 SW MORRISON ST STE 525
PORTLAND, OR 97204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers Arizona PC's NPI number?

The NPI number for Evernorth Care Providers Arizona PC is 1538842208. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Evernorth Care Providers Arizona PC located?

Evernorth Care Providers Arizona PC is located at 121 SW Morrison St Ste 525, Portland, OR 97204. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers Arizona PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers Arizona PC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.