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Providence Health & Service - Oregon
PACE Provider Organization in Portland, Oregon
NPI 1023738424

Providence Health & Service - Oregon is a PACE Provider Organization based in Portland, OR. Providence Health & Service - Oregon practices in Portland, OR. The NPI Number for Providence Health & Service - Oregon is 1023738424 and holds a License No. (Oregon).

The current practice location address for Providence Health & Service - Oregon is 4400 Ne Halsey St, Portland, OR and can be reached out via phone at 503-215-6556 and via fax at 503-215-0685.

Location: 4400 Ne Halsey St, Portland, OR, 97213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023738424
Provider Name
Providence Health & Service - Oregon
Credential
Provider Entity Type
Organization
Address
4400 Ne Halsey St, Portland, OR, 97213
Phone Number
503-215-6556
Fax Number
503-215-0685
Provider Enumeration Date
08/29/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005673 05 OR
institution
Provider Business Practice Location Address Details
Address
4400 Ne Halsey St
City
Portland
State
Oregon
Zip
97213
Phone Number
503-215-6556
Fax Number
503-215-0685
person
Provider Business Mailing Address Details
Address
4400 Ne Halsey St
City
Portland
State
Oregon
Zip
97213
Phone Number
503-215-6556
Fax Number
503-215-0685
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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