SISTERS OF PROVIDENCE IN OREGON NPI 1134206790

NPI Information

  • NPI: 1134206790
  • Provider Name: SISTERS OF PROVIDENCE IN OREGON
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 725 N 5TH ST
    SUITE 101
    JACKSONVILLE, OR
    ZIP 97530
  • Phone: (541) 899-8686

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NPI Details

SISTERS OF PROVIDENCE IN OREGON is a clinic center in Jacksonville, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SISTERS OF PROVIDENCE IN OREGON NPI is 1134206790. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

725 N 5TH ST
SUITE 101
JACKSONVILLE, OR
ZIP 97530-873
Phone: (541) 899-8686

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/12/2025.

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
1261Q00000XClinic/CenterYes

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
1CG6801OTHEROREGONRAIL ROAD NUMBER
2022823MEDICAIDOREGON

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: 3/30/2025

NPI Synchronization or Removal

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