institution
Optumcare Portland Llc
General Practice Physician in Portland, Oregon
NPI 1710003140

Optumcare Portland Llc is a General Practice Physician based in Portland, OR. Optumcare Portland Llc practices in Portland, OR. The NPI Number for Optumcare Portland Llc is 1710003140 and holds a License No. (Oregon).

The current practice location address for Optumcare Portland Llc is 9450 Sw Barnes Rd Ste 100, Portland, OR and can be reached out via phone at 503-292-9560 and via fax at 503-292-9510.

Location: 9450 Sw Barnes Rd Ste 100, Portland, OR, 97225-6642
institution
Provider Profile Details
NPI Number
1710003140
Provider Name
Optumcare Portland Llc
Credential
Provider Entity Type
Organization
Address
9450 Sw Barnes Rd Ste 100, Portland, OR, 97225-6642
Phone Number
503-292-9560
Fax Number
503-292-9510
Provider Enumeration Date
03/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810029000 01 OR REGENCE BLUE CROSS
DA6538 01 OR MEDICARE RAILROAD GROUP
institution
Provider Business Practice Location Address Details
Address
9450 Sw Barnes Rd Ste 100
City
State
Zip
97225
Phone Number
503-292-9560
Fax Number
503-292-9510
person
Provider Business Mailing Address Details
Address
9450 Sw Barnes Rd Ste 100
City
State
Zip
97225
Phone Number
503-292-9560
Fax Number
503-292-9510
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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