- Practice location
- 2005 SE Hawthorne Blvd, 20TH And SE Hawthorne, Portland, OR 97214-3819
- Phone
- 503-236-4580
- Fax
- 503-231-8400
- Last updated
- September 24, 2013
A Balanced Life Health Care is a healthcare organization based in Portland, OR. A Balanced Life Health Care practices in Portland, OR. The NPI Number for A Balanced Life Health Care is 1083040869 and holds a License No. 020704040 (OR). The current practice location address for A Balanced Life Health Care is 2005 SE Hawthorne Blvd, 20TH And SE Hawthorne, Portland, OR 97214-3819 and can be reached out via phone at 503-236-4580 and via fax at 503-231-8400.
Provider Profile Details
- NPI Number
- 1083040869
- Provider Name
- A Balanced Life Health Care
- Provider Entity Type
- Organization
- Address
- 2005 SE Hawthorne Blvd, 20TH And SE Hawthorne, Portland, OR 97214-3819
- Phone Number
- 503-236-4580
- Fax Number
- 503-231-8400
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Miss Debbie Lynn Vanett · Office Manager · 503-236-4580
- Provider Enumeration Date
- September 24, 2013
- Last Update Date
- September 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2005 SE Hawthorne Blvd
20TH And SE Hawthorne
Portland, OR 97214-3819 - City
- Portland
- State
- Oregon
- Zip
- 97214-3819
- Phone Number
- 503-236-4580
- Fax Number
- 503-231-8400
Provider Business Mailing Address Details
- Address
- 2005 SE Hawthorne Blvd.
20TH And SE Hawthorne
Portland, OR 97214 - City
- Portland
- State
- OR
- Zip
- 97214
- Phone Number
- 503-236-4580
- Fax Number
- 503-231-8400
License Information
- License Number
- 020704040
- License State
- OR
- Taxonomy
- Health Maintenance Organization · 302R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of A Balanced Life Health Care?
The NPI number of A Balanced Life Health Care is 1083040869. It was assigned on September 24, 2013 and is currently active in the NPPES registry.
What is the specialty of A Balanced Life Health Care?
A Balanced Life Health Care is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in OR under license number 020704040.
Where does A Balanced Life Health Care practice?
The practice location is 2005 SE Hawthorne Blvd, 20TH And SE Hawthorne, Portland, OR 97214-3819. The office can be reached at 503-236-4580 (phone) or 503-231-8400 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083040869 directly on the NPPES registry website.