SHRINERS HOSPITALS FOR CHILDREN; NPI #1982793139

Contact Information

SHRINERS HOSPITALS FOR CHILDREN

3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009

Phone: 503-294-3230
Fax: 503-221-3701
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for SHRINERS HOSPITALS FOR CHILDREN

NPI # 1982793139

LBN Legal business name SHRINERS HOSPITALS FOR CHILDREN

Authorized official JERRY GANTT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/12/2006

Last updated 09/20/2019 - About 7 years ago

Identifiers

OR	License #	394874
AK	Medicaid	HS10RIP
ID	Medicaid	1982793139
OR	Medicaid	271154
WA	Medicaid	2015176

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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