OPTUMCARE PORTLAND LLC – NPI #1710003140
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

OPTUMCARE PORTLAND LLC is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1710003140 to OPTUMCARE PORTLAND LLC on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Dec 05, 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 OPTUMCARE PORTLAND LLC below.

NPI Profile for
OPTUMCARE PORTLAND LLC

NPI Number
1710003140
Enumeration Date

(more than 19 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
OPTUMCARE PORTLAND LLC
Primary location
9450 SW BARNES RD STE 100
PORTLAND, OR 97225
Phone: (503) 292-9560 Fax: (503) 292-9510
1 Other location(s):
700 NE Multnomah St Ste 400
Portland, OR 97232-4104
Phone: (503) 292-9560
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENDA CASTILLO
REVENUE CYCLE MANAGER
Phone: (503) 384-2027
Updated
Certification Date
Dec 05, 2022

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 OPTUMCARE PORTLAND LLC

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
otherMEDICARE RAILROAD GROUPORDA6538
otherREGENCE BLUE CROSSOR810029000
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.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

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.