O'DONOVAN CLINIC INC. NPI 1376520163

NPI Information

NPI: 1376520163
Provider Name: O'DONOVAN CLINIC, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
580 AVENUE U
SEASIDE, OR
ZIP 97138
Phone: (503) 738-5571
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O'DONOVAN CLINIC, INC. is a health service clinic center in Seaside, OR. O'DONOVAN CLINIC, INC. NPI is 1376520163. The provider is registered as an organization entity type.

The provider's business location address is:

580 AVENUE U
SEASIDE, OR
ZIP 97138-065
Phone: (503) 738-5571
Fax: (503) 738-5573

The provider's authorized official is Carol J. O'donovan .
The authorized official title is Owner/manager and has the following contact phone number (503) 738-5571.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 2/12/2008.

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	261QH0100X	Clinic/Center	Health Service	00038357	OREGON	Yes

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
1	S00434	MEDICARE UPIN	OREGON
2	286279	MEDICAID	OREGON
3	R114259	MEDICARE PIN	OREGON

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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