Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 294-3230
(503) 221-3701
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(503) 294-3230
(503) 221-3701
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
394874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982793139
—
ID
05
—
2015176
—
WA
05
—
271154
—
OR
05
—
HS10RIP
—
AK
Enumeration date
10/12/2006
Last updated
09/20/2019
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