NPI 1417333535 · live from the CMS NPI Registry
Ascension Health Centers
Family Medicine, Addiction Medicine in Portland, OR. National Provider Identifier 1417333535, active.
NPI record
| NPI | 1417333535 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 8083 Se 13th Ave, Suite #3, Portland, OR 97202 |
| Practice phone | 971-533-5840 |
| Enumerated | July 31, 2015 |
| Last updated | July 31, 2015 |
| Authorized official | John Hardy, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | MD18862 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.