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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

NPI # 1710003140
LBN Legal business name OPTUMCARE PORTLAND LLC
Authorized official BRENDA CASTILLO - (REVENUE CYCLE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 12/05/2022 - About 3 years ago
Identifiers
OR Other DA6538 MEDICARE RAILROAD GROUP
OR Other 810029000 REGENCE BLUE CROSS
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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