PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1790096873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790096873 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY PORTLAND CLINIC BEAVERT |
| Practice Address |
15950 Sw Millikan Way Beaverton OR 97003-5170 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032976234 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2014-12-24 |
| 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 | 500628337 | 05 |
| Other Name | Type Code |
|---|---|
| Providence St Vincent Heart Clinics Cardiology Portland Clinic Beavert | 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 |
15950 SW MILLIKAN WAY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192756 | Reewen C. D'souza-kamath | Internal Medicine | 15950 Sw Millikan Way, Beaverton, OR 97006-5170 | 2005-05-24 |
| 1275033268 | Marni Lynn Doerfler | Social Worker | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2018-02-15 |
| 1992230619 | Amanda Rochelle Tobias | Pharmacist | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2017-05-01 |
| 1750813507 | Nadia Reinhart-mcmillan | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2017-03-31 |
| 1831517507 | Trisha Haskins | Nurse Practitioner | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2014-03-31 |
| 1902245756 | Ian Michael Horner | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2013-06-14 |
| 1902152440 | Beth Elaine Jennings | Physical Therapist | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2012-08-02 |
| 1649403940 | Jessica Lauren Binkley | Counselor | 15950 Sw Millikan Way, Beaverton, OR 97003 | 2009-09-02 |
| 1184852899 | Poonam Walia Chhibber | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2009-07-01 |
| 1922232255 | Amanda J Pickert | Dermatology | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| 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 |
|---|---|---|---|---|
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1184000911 | Jennifer Means Nd Lac PC | Clinic/Center | 4970 Sw Main Ave # 100, Beaverton, OR 97005-2740 | 2015-08-04 |
| 1407249659 | New Leaf Health Clinic | Clinic/Center | 14900 Sw Barrows Rd, Building B, Suite 201, Beaverton, OR 97007-7524 | 2015-03-12 |
| 1568792950 | Monarch Medical Group LLC | Clinic/Center | 2376 Nw Amberbrook Dr, Beaverton, OR 97006 | 2010-01-06 |
| 1851502918 | Neurobehavioral Evaluation and Therapy Services, LLC | Clinic/Center | 20000 Nw Walker Rd, In Care of Ogi-ohsu-701, Beaverton, OR 97006-8921 | 2007-05-24 |
| 1437256013 | Forward Stride | Clinic/Center | 23839 Sw Daniel Rd, Beaverton, OR 97078-5400 | 2006-09-17 |
| 1992303317 | Pacific Allergy LLC | Clinic/Center | 14631 Sw Millikan Way Ste 60, Beaverton, OR 97003-2999 | 2020-10-16 |
| 1871053587 | Acupuncture & Wellness Nw, PC | Clinic/Center | 3857 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2019-03-20 |
| 1609321157 | Conerstone Chiropractic Ps Inc | Clinic/Center | 4655 Sw Griffith Dr, Suite 180, Beaverton, OR 97005-8728 | 2016-08-24 |
| 1487026480 | Luna Acupuncture & Wellness Center LLC | Clinic/Center | 14631 Sw Millikan Way, Suite 6, Beaverton, OR 97003-2999 | 2015-10-29 |
| Find all providers in BEAVERTON | ||||
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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.