PROVIDENCE NEWBERG PHARMACY NPI 1154729119

NPI Information

NPI: 1154729119
Provider Name: PROVIDENCE NEWBERG PHARMACY
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 38D2279782

Address:
1001 PROVIDENCE DR
NEWBERG, OR
ZIP 97132
Phone: (503) 537-1798
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PROVIDENCE NEWBERG PHARMACY is a rural general acute care hospital in Newberg, OR. PROVIDENCE NEWBERG PHARMACY NPI is 1154729119. The provider is registered as an organization entity type.

The provider's business location address is:

1001 PROVIDENCE DR
NEWBERG, OR
ZIP 97132-485
Phone: (503) 537-1798
Fax: (503) 537-1813

The provider's authorized official is Lori Vanzanten .
The authorized official title is Ceo and has the following contact phone number (503) 537-1798.

The CLIA number assigned to this NPI record is 38D2279782 - other - school based health cente with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2014 and was last updated on 12/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NR1301X	General Acute Care Hospital	Rural		OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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