PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1154607216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154607216 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE CARDIAC AND DEVICE MONITORING CLINIC ASTORIA |
| Practice Address |
1355 Exchange St Astoria OR 97103-3980 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032162188 |
| Practice Fax Number | 5032160820 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | KEENAN B FREEMAN (CFO) |
| Authorized Official Telephone | 5038936524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500641551 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Cardiac and Device Monitoring Clinic Astoria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
| 1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
| 1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
| 1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
| 1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
| Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
1355 EXCHANGE ST |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174555312 | Robert Willis Morse | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2006-07-07 |
| 1770926776 | Providence Health & Services - Oregon | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2013-04-10 |
| 1851657035 | Providence Health & Services - Oregon | Clinic/Center | 1355 Exchange St, Astoria, OR 97103-3980 | 2012-04-02 |
| 1982921490 | Providence Health & Services - Oregon | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740431964 | Schuiyler County Hospital District Health Center Inc | Clinic/Center | 135 W Broadway, Astoria, IL 61501-9634 | 2008-10-07 |
| 1043482359 | Nyconfidential Behavioral Medicine | Clinic/Center | 3709 Broadway, 3a, Astoria, NY 11103-4060 | 2008-03-26 |
| 1417011974 | Psch. Inc | Clinic/Center | 1904 49th St, Astoria, NY 11105-1103 | 2006-12-20 |
| 1932125721 | Psch. Inc | Clinic/Center | 2534 Steinway St, Astoria, NY 11103-3702 | 2006-07-14 |
| 1225072945 | Russell J. Keizer Md PC | Clinic/Center | 2120 Exchange St #203, Astoria, OR 97103 | 2006-06-15 |
| 1023358207 | B.a.m Optical Corp | Clinic/Center | 3418 Broadway, Astoria, NY 11106-1112 | 2013-02-25 |
| 1851657035 | Providence Health & Services - Oregon | Clinic/Center | 1355 Exchange St, Astoria, OR 97103-3980 | 2012-04-02 |
| 1114161932 | Mustapha Bourara,md,pc | Clinic/Center | 2427 Steinway St, Astoria, NY 11103-3654 | 2009-04-23 |
| 1770756611 | Steven C. Scruggs Od PC | Clinic/Center | 261 Marine Dr, Astoria, OR 97103-4325 | 2008-04-11 |
| 1013100544 | Bobek Enterprises PC | Clinic/Center | 515 15th St, Astoria, OR 97103-3812 | 2007-08-17 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.