Outside In | |
16144 E Burnside St Portland OR 97233-3520 | |
(503) 535-3880 | |
(503) 223-6837 |
Full Name | Outside In |
---|---|
Speciality | Clinic/Center |
Location | 16144 E Burnside St, Portland, Oregon |
Authorized Official Name and Position | Bonnie Ross (FINANCE DIRECTOR) |
Authorized Official Contact | 5035353803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Outside In 1132 Sw 13th Ave Portland OR 97205-1703 Ph: (503) 535-3800 | Outside In 16144 E Burnside St Portland OR 97233-3520 Ph: (503) 535-3880 |
NPI Number | 1972124196 |
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Provider Enumeration Date | 04/28/2020 |
Last Update Date | 04/28/2020 |
Certification Date | 04/28/2020 |
Medicare PECOS PAC ID | 9638256662 |
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Medicare Enrollment ID | O20200820003635 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972124196 | NPI | - | NPPES |
181599 | Medicaid | OR |
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