Providence Elder Place Portland – Multi-Specialty Clinic/Center, NPI 1023098118
Multi-Specialty Clinic/Center
Main info
Profile Insights
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Provider Addresses for Providence Elder Place Portland
Providence Elderplace Glendoveer, 13007, Northeast Glisan Street, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97230, United States
PORTLAND, OR 972302545
Phone: (503) 215-6556
Fax: (503) 215-0685
Type: Mailing
4540, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
PORTLAND, OR 972132333
Phone: (503) 215-3738
Fax: (503) 215-6942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97230)
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