PORTLAND ADVENTIST COMMUNITY SERVICES


Address: 11020 Ne Halsey St, Portland Adventist Community Services, Portland, OR 97220
Phone: 5032528500

PORTLAND ADVENTIST COMMUNITY SERVICES (NPI# 1306246764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306246764
Entity Type Organization
Organization Name PORTLAND ADVENTIST COMMUNITY SERVICES
Other Organization Name PACS HEALTH CLINIC
Practice Address 11020 Ne Halsey St
Portland Adventist Community Services
Portland
OR 97220
Practice Telephone 5032528500
Practice Fax Number 5032572884
Mailing Telephone 5032528500
Mailing Fax Number 5032572884
Enumeration Date 2014-09-03
Last Update Date 2017-05-01
Authorized Official Name MR. PAUL L. COLE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5032528500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PACS Health Clinic Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PORTLAND ADVENTIST COMMUNITY SERVICES 11020 Ne Halsey, Portland, OR 97220

Office Location

Street Address 11020 NE HALSEY ST
PORTLAND ADVENTIST COMMUNITY SERVICES
City PORTLAND
State OR
Zip Code 97220

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NPI Name Taxonomy Address Enumeration
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1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801413240 Gfm LLC Clinic/Center 1235 Se Division St Ste 114, Portland, OR 97202-1042 2020-07-01
1134750037 Legacy Good Samaritan Hospital and Medical Center Clinic/Center 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 2020-01-29
1679030290 Yoana Kanev Clinic/Center 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 2019-03-01
1841760584 Orthopedic Needle LLC Clinic/Center 328 Ne Failing St Ste C, Portland, OR 97212-1157 2018-11-26
1073081881 Sober Living Oregon Recovery Center Clinic/Center 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2018-11-09
1366933830 Dr Frances V Verzosa Md PC Clinic/Center 12770 Se Stark St Bldg C, Portland, OR 97233-1539 2018-05-21
1023520814 Concordia Wellness, LLC Clinic/Center 3014 Ne Killingsworth St, Portland, OR 97211-6814 2017-11-01
1114443124 Zephyr Acupuncture and Bodywork, LLC Clinic/Center 4313 Ne Tillamook St, Portland, OR 97213-1315 2017-08-22
1164952495 Earth Source Medicine Clinic/Center 2207 Ne Broadway St Ste 200, Portland, OR 97232-1791 2017-06-19
1902353873 Siesta Acupuncture LLC Clinic/Center 2818 Se 70th Ave, Portland, OR 97206-1117 2016-09-08
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Competitor

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City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

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.

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