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INTEGRATED HEALTH CLINICS LLC NPI 1366506073


NPI Information

NPI: 1366506073
Provider Name: INTEGRATED HEALTH CLINICS, LLC

Other Name: IHC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
17882 SE MCLOUGHLIN BLVD
MILWAUKIE, OR
ZIP 97267
Phone: (503) 353-9415
Get Directions

INTEGRATED HEALTH CLINICS, LLC is a methadone clinic center in Milwaukie, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. INTEGRATED HEALTH CLINICS, LLC NPI is 1366506073. The provider is registered as an organization entity type.
The provider Other Name Is Ihc.

The provider's business location address is:

17882 SE MCLOUGHLIN BLVD
MILWAUKIE, OR
ZIP 97267-103
Phone: (503) 353-9415
Fax: (503) 353-9409

The provider's authorized official is Patricia A. Ewing .
The authorized official title is Executive Director and has the following contact phone number (503) 353-9415.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 2/10/2021.


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
1251S00000XCommunity/Behavioral HealthOREGONNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QM2800XClinic/CenterMethadoneYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1292910MEDICAIDOREGON

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

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