| Caresnw | |
|
2801 N Gantenbein Ave Portland OR 97227 | |
| (503) 413-2200 | |
| (503) 413-2756 |
| Full Name | Caresnw |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2801 N Gantenbein Ave, Portland, Oregon |
| Authorized Official Name and Position | Anna Loomis (CFO) |
| Authorized Official Contact | 5034155730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caresnw Po Box 4037 Portland OR 97208-4037 Ph: (503) 413-4048 | Caresnw 2801 N Gantenbein Ave Portland OR 97227 Ph: (503) 413-2200 |
| NPI Number | 1073053757 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073053757 | NPI | - | NPPES |
| 500728535 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 14-0056 (Oregon) | Primary |
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