National Provider Identifier Database

SHRINERS HOSPITALS FOR CHILDREN
Children


Contact Information

SHRINERS HOSPITALS FOR CHILDREN
3101 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3009
Phone: 503-294-3230
Fax: 503-221-3701
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for SHRINERS HOSPITALS FOR CHILDREN

NPI Number 1982793139
Legal business name
LBN
SHRINERS HOSPITALS FOR CHILDREN
Authorized official JERRY GANTT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 09/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 394874
  • AK Medicaid: HS10RIP
  • ID Medicaid: 1982793139
  • OR Medicaid: 271154
  • WA Medicaid: 2015176

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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