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Organization
PORTLAND ADVENTIST MEDICAL CENTER
Active
Organization
PORTLAND ADVENTIST MEDICAL CENTER
Active
Parent organization
PORTLAND ADVENTIST MEDICAL CENTER
Other names
ADVENTIST HEALTH PORTLAND
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND ADVENTIST MEDICAL CENTER
Authorized official
KYLE KING (CEO)
(503) 251-6842
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST, SUITE 116, PORTLAND, OR 97216
(503) 251-6354
(503) 251-6286
Mailing address
PO BOX 888918, LOS ANGELES, CA 90088-8918
(503) 261-6085
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
14 1127
OR
207Q00000X
Family Medicine Physician
Primary
14 1127
OR
207R00000X
Internal Medicine Physician
14 1127
OR
207RC0000X
Cardiovascular Disease Physician
14 1127
OR
207RG0100X
Gastroenterology Physician
14 1127
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
14 1127
OR
207RP1001X
Pulmonary Disease Physician
14 1127
OR
207RR0500X
Rheumatology Physician
14 1127
OR
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
2083X0100X
Occupational Medicine Physician
14 1127
OR
2084P0800X
Psychiatry Physician
14 1127
OR
208M00000X
Hospitalist Physician
14 1127
OR
Other
Enumeration date
11/22/2005
Last updated
01/06/2022
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