NPIMap

Organization Active NPI

Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Happy Valley, OR
National Provider Identifier
1023440435
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
201140845RN Issued in OR
Legal business name
PROVIDENCE HEALTH & SERVICES - OREGON
Practice address
11445 SE Moon Dust CT
Happy Valley, OR 97086-8033
Phone
(903) 327-6489
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian Neil SchapanskyNPI 1356793152
Title
Registered Nurse/ Critical Care
Phone
(903) 327-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 201140845RN OR Primary

Addresses

Primary practice location

11445 SE Moon Dust CT
Happy Valley, OR 97086-8033

Mailing address

11445 SE Moon Dust CT
Happy Valley, OR 97086-8033

National Provider Directory

National Provider Directory
Tax ID family
Providence Portland Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1023440435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 SE MOON DUST CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 SE MOON DUST CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868033",
            "telephone_number": "903-327-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHAPANSKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "REGISTERED NURSE/ CRITICAL CARE",
        "authorized_official_telephone_number": "903-327-6489",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "201140845RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.