National Provider Identifier Database

OREGON DEPARTMENT OF CORRECTIONS
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

OREGON DEPARTMENT OF CORRECTIONS
17734 SW SHASTA TRL
TUALATIN, OR97062-8455
Phone: 503-691-1718
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for OREGON DEPARTMENT OF CORRECTIONS

NPI Number 1659721397
Legal business name
LBN
OREGON DEPARTMENT OF CORRECTIONS
Authorized official LINN MENZIE - (BHS PROGRAM MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/14/2016
Last updated 06/14/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: L4861

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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