ADVENTIST HEALTH PORTLAND – NPI #1215910302
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ADVENTIST HEALTH PORTLAND is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1215910302 to ADVENTIST HEALTH PORTLAND on November 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTIST HEALTH PORTLAND” is a dba name, the actual legal business name for this organization is PORTLAND ADVENTIST MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jan 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTIST HEALTH PORTLAND below.

NPI Profile for
PORTLAND ADVENTIST MEDICAL CENTER

NPI Number
1215910302
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTLAND ADVENTIST MEDICAL CENTER
Doing Business As (dba): ADVENTIST HEALTH PORTLAND
Primary location
10000 SE MAIN ST
SUITE 116
PORTLAND, OR 97216
Phone: (503) 251-6354 Fax: (503) 251-6286
Mailing address
PO BOX 888918
LOS ANGELES, CA 90088-8918
Phone: (503) 261-6085 Fax:
Organization Subpart
Yes - ADVENTIST HEALTH PORTLAND is subpart of another organization.
Authorized Official
KYLE KING
CEO
Phone: (503) 251-6842
Updated
Certification Date
Oct 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVENTIST HEALTH PORTLAND

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARE OR CLINORCI4927
OTHERRAILROAD MEDICARE WA CLINWACH2083
OTHERWA L&I (OCCMED CLINIC)WA0201918
OTHERWA LABOR & INDUSTRIESWA0127633
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.