PROVIDENCE PORTLAND MEDICAL CENTER
NPI 1639524697
Substance Abuse Rehabilitation Facility in Portland, OR
- Organization
- Substance Abuse Rehabilitation Facility
About PROVIDENCE PORTLAND MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Providence Portland Medical Center, a provider established in Portland, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1639524697 assigned on April 2016. The practitioner's primary taxonomy code is 324500000X with license number 700006 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Providence Portland Medical Center. The authorized official of this NPI record is Billie Jean Mounts (Chief Reimbursement Officer)
- NPI
- 1639524697 Verify this NPI
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Other Organization Name
- PROVIDENCE PORTLAND MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5228 NE HOYT ST BUILDING B PORTLAND, OR 97213
- Location Phone
- (503) 574-9200
- Mailing Address
- PO BOX 3395 PORTLAND, OR 97208
- Mailing Phone
- (503) 215-4323
- Mailing Fax
- (503) 215-0297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2016
- Last Update Date
- 04-27-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 700006
- License State
- OR
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639524697, enumerated as an "organization" on April 27, 2016.
The provider is located at 5228 NE HOYT ST BUILDING B PORTLAND, OR 97213 and the phone number is (503) 574-9200.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
