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Contact Information

SUPPLEMENTAL HEALTH CARE
7320 SW HUNZIKER ST
SUITE 203
TIGARD, OR97223-8283
 Phone: 888-317-1019
 Fax: 888-317-1020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for SUPPLEMENTAL HEALTH CARE

NPI Number 1457685794
LBN Legal business name SUPPLEMENTAL HEALTH CARE
Authorized official JOSHUA HERRING - (RECRUITING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2009
Last updated 09/18/2009 - About 17 years ago
Identifiers
WA License # 600445616
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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