PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1306260146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306260146 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
Other Organization Name | PROVIDENCE ST VINCENT HEART CLINIC HEART RHYTHM AT PENDLETON |
Practice Address |
3001 St Anthony Way Pendleton OR 97801-3836 |
Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
Practice Telephone | 5032160770 |
Practice Fax Number | 5032160775 |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |
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 |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Providence St Vincent Heart Clinic Heart Rhythm at Pendleton | 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 |
3001 ST ANTHONY WAY |
City | PENDLETON |
State | OR |
Zip Code | 97801-3836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972500296 | William F Bell | Orthopaedic Surgery | 3001 St Anthony Way, Pendleton, OR 97801 | 2005-07-01 |
1073082046 | Ashley Rae Christensen | Registered Nurse | 3001 St Anthony Way, Pendleton, OR 97801-3836 | 2018-11-19 |
1295197887 | Katie C Morioka | Nurse Practitioner | 3001 St Anthony Way, #120, Pendleton, OR 97801-3836 | 2016-03-23 |
1720455660 | Lacey Kay Wilson | Clinic/Center | 3001 St Anthony Way, Pendleton, OR 97801 | 2015-08-26 |
1457736977 | Biana Manchik | Family Medicine | 3001 St Anthony Way, Pendleton, OR 97801 | 2015-07-27 |
1932511540 | Andrew Schwartz | Family Medicine | 3001 St Anthony Way, Pendleton, OR 97801-3836 | 2014-05-30 |
1639593387 | Providence Health & Services - Oregon | Internal Medicine | 3001 St Anthony Way, Pendleton, OR 97801-3836 | 2014-02-14 |
1154520658 | Wade Robert Hunsaker | Nurse Practitioner | 3001 St Anthony Way, Pendleton, OR 97801-3836 | 2007-07-13 |
1093912693 | Aimee Elise Rogers | Urology | 3001 St Anthony Way, Pendleton, OR 97801 | 2007-06-28 |
1780880518 | St Anthony Hospital | Clinic/Center | 3001 St Anthony Way, Pendleton, OR 97801-3836 | 2007-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
Find all providers in zip 97801 |
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 |
---|---|---|---|---|
1326432972 | Simply Healthcare, LLC | Clinic/Center | 416 Nw 8th St, Pendleton, OR 97801-1332 | 2015-03-21 |
1225538796 | Pendleton Family Practice and Sports Medicine LLC | Clinic/Center | 202 Se Dorion Ave, Pendleton, OR 97801-2576 | 2018-02-20 |
1316351299 | Helping Kneads Therapeutic Massage | Clinic/Center | 17 Sw Frazer Ave, Suite #240, Pendleton, OR 97801-2163 | 2014-06-18 |
1194010116 | St.anthony Hospital We Care Clinic | Clinic/Center | 1601 Se Court Ave, Pendleton, OR 97801-3217 | 2011-06-17 |
1679803043 | Blue Mountain Chiropractic Clinic | Clinic/Center | 424 Sw 6th St, Pendleton, OR 97801-2026 | 2010-01-07 |
1689739310 | Pediatric Specialists of Pendleton, LLC | Clinic/Center | 1600 Se Court Pl, Suite, L01, Pendleton, OR 97801-3281 | 2006-12-22 |
1346283488 | Yellowhawk Tribal Health Center | Clinic/Center | 46314 Timine Way, Pendleton, OR 97801-9417 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
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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.