HEALING PRESENCE FAMILY PRACTICE PC NPI 1376768572

NPI Information

NPI: 1376768572
Provider Name: HEALING PRESENCE FAMILY PRACTICE, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
30250 SW PARKWAY AVE
SUITE 7
WILSONVILLE, OR
ZIP 97070
Phone: (503) 819-9726
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HEALING PRESENCE FAMILY PRACTICE, PC is a primary care clinic center in Wilsonville, OR. HEALING PRESENCE FAMILY PRACTICE, PC NPI is 1376768572. The provider is registered as an organization entity type.

The provider's business location address is:

30250 SW PARKWAY AVE
SUITE 7
WILSONVILLE, OR
ZIP 97070-757
Phone: (503) 819-9726

The provider's authorized official is Carla Rayne Anderson .
The authorized official title is Owner and has the following contact phone number (503) 819-9726.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/31/2007.

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	261QP2300X	Clinic/Center	Primary Care		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	Other Provider Identifier Issuer
1	070131	MEDICAID	OREGON
2	P 84206	MEDICARE UPIN	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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