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Contact Information

OPTUMCARE PORTLAND LLC
9450 SW BARNES RD STE 100
PORTLAND, OR97225
 Phone: 503-292-9560
 Fax: 503-292-9510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for OPTUMCARE PORTLAND LLC · (Female)

NPI Number 1710003140
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2007
Last updated 12/05/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Other DA6538 MEDICARE RAILROAD GROUP
  • OR Other 810029000 REGENCE BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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