A Balanced Life Health Care
Health Maintenance Organization in Portland, Oregon
1083040869- 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. The NPI number for A Balanced Life Health Care is 1083040869 and holds license No. 020704040 (OR). The current practice location address is 2005 SE Hawthorne Blvd, 20TH And SE Hawthorne, Portland, OR 97214-3819 and the office can be reached by phone at 503-236-4580 and by fax at 503-231-8400. The NPI was assigned on September 24, 2013 and the record was last updated in NPPES on September 24, 2013.
●Provider Profile Details
- NPI Number
- 1083040869
- Provider Name
- A Balanced Life Health Care
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Health Maintenance Organization · 302R00000X
- Organization Subpart
- No
- Authorized Official
- Miss Debbie Lynn Vanett · Office Manager · 503-236-4580
- Enumeration Date
- September 24, 2013
- Last Update Date
- September 24, 2013
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2005 SE Hawthorne Blvd
20TH And SE Hawthorne
Portland, OR 97214-3819 - City
- Portland
- State
- Oregon
- ZIP
- 97214-3819
- Country
- US
- Phone Number
- 503-236-4580
- Fax Number
- 503-231-8400
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes | 020704040 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 020704040 (OR).
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 at npiregistry.cms.hhs.gov.