CONCENTRA HEALTH SERVICES, INC. (NPI# 1972752913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972752913 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH SERVICES, INC. |
| Practice Address |
12518 Ne Airport Way Suite 110 Portland OR 97230 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001 |
| Practice Telephone | 5032562992 |
| Practice Fax Number | 5032580717 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | KEITH NEWTON (PRESIDENT / CEO) |
| Authorized Official Telephone | 9723648106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033361332 | Concentra Health Services, Inc. | Clinic/Center | 3532 West Thomas Road, Phoenix, AZ 85019-4440 | 2008-10-17 |
| 1275785750 | Concentra Health Services, Inc. | Clinic/Center | 10b Madison Ave., Albany, NY 12203 | 2008-10-16 |
| 1720230139 | Concentra Health Services, Inc. | Clinic/Center | 7800 Nw 25th St., Suite 4, Miami, FL 33122-1625 | 2008-10-16 |
| 1598917072 | Concentra Health Services, Inc. | Clinic/Center | 574 Summit Avenue, Jersey City, NJ 07306-2708 | 2008-10-16 |
| 1700038270 | Concentra Health Services, Inc. | Clinic/Center | 436 44th Street Se, Suite A, Grand Rapids, MI 49548-4371 | 2008-10-16 |
| 1295987766 | Concentra Health Services, Inc. | Clinic/Center | 2835 Jeff Adams Dr., #a, Charlotte, NC 28206-1061 | 2008-10-16 |
| 1306098876 | Concentra Health Services, Inc. | Clinic/Center | 627 East Maple Road, Suite 200, Troy, MI 48083-2812 | 2008-10-16 |
| 1598917064 | Concentra Health Services, Inc. | Clinic/Center | 1915 N. Perry Street, Pontiac, MI 48340-2237 | 2008-10-16 |
| 1912159336 | Concentra Health Services, Inc. | Clinic/Center | 4221 Tuckaseegee Rd., Charlotte, NC 28208-2801 | 2008-10-16 |
| 1043462518 | Concentra Health Services, Inc. | Clinic/Center | 26185 Greenfield Road, Southfield, MI 48075-4709 | 2008-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr 1200 W Tower, Addison, TX 75001 |
| Iowa Business Entities | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Oregon Corporations, Companies and Business Names | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 W Tower, Addison, TX 75001 |
| Massachusetts Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr., Suite 1200 West Tower, Addison, TX 75001 |
| System for Award Management (SAM) Entities | CONCENTRA HEALTH SERVICES, INC. | 30800 Telegraph Rd Ste 39, Bingham Farms, MI 48025-4542 |
| Colorado Business Entities | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 West Tower, Addison, TX 75001 |
| Vermont Business Registrations | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Oklahoma Business Registrations | CONCENTRA HEALTH SERVICES, INC. | 3010 Lbj Frwy, Ste 400, Dallas, TX 75234 |
| New York State Corporations | CONCENTRA HEALTH SERVICES, INC. | 28 Liberty St., New York, Ny 10005 |
| Street Address |
12518 NE AIRPORT WAY SUITE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336274075 | David Kidd | Internal Medicine | 12518 Ne Airport Way, Portland, OR 97230-1078 | 2007-02-22 |
| 1962954685 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 12518 Ne Airport Way, Ste 110, Portland, OR 97230 | 2016-10-28 |
| 1568811123 | Joshua Hall | Physical Therapist | 12518 Ne Airport Way, 110, Portland, OR 97230-1078 | 2016-06-05 |
| 1275919235 | Nathan Lucherini | Physical Therapist | 12518 Ne Airport Way, Ste 110, Portland, OR 97230-1078 | 2015-07-31 |
| 1528368586 | Steven Daniel Miller | Physical Therapist | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2010-10-25 |
| 1275851073 | American Current Care, Pa | Clinic/Center | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2010-05-04 |
| 1144477159 | Andrew Ryan Sjolander | Physical Therapist | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2008-08-20 |
| 1609068899 | Glen Ritchie Stream | Family Medicine | 12518 Ne Airport Way, Portland, OR 97230-1078 | 2007-08-13 |
| 1831217819 | Therapy Centers of The Southwest I, P.a., P.C. | Clinic/Center | 12518 Ne Airport Way, Suite 110, Portland, OR 97230 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| 1811441652 | Boly Health and Education, LLC | Clinic/Center | 2607 Nw Thurman St, Portland, OR 97210-2202 | 2016-08-10 |
| 1073927158 | Personal Fitness and Consulting | Clinic/Center | 12014 Se Schiller St, Portland, OR 97266-3258 | 2014-06-17 |
| 1427475698 | Eternal Spring Massage | Clinic/Center | 7048 Se Milwaukie Ave, Portland, OR 97202-5719 | 2014-03-25 |
| Find all providers in PORTLAND | ||||
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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.