Portland Adventist Community Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PORTLAND ADVENTIST COMMUNITY SERVICES

Practice address

11020 NE Halsey St
Portland Adventist Community Services
Portland, OR 97220

Phone

(503) 252-8500

Fax

(503) 257-2884

NPI assigned

Sep 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Paul L. Cole

Title

Executive Director

Phone

(503) 252-8500

Specialties & licenses 1

Addresses

Other names 1

• PACS Health Clinic Other name

Locations

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1306246764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 NE HALSEY ST",
            "address_2": "PORTLAND ADVENTIST COMMUNITY SERVICES",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-252-8500",
            "fax_number": "503-257-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 NE HALSEY ST",
            "address_2": "PORTLAND ADVENTIST COMMUNITY SERVICES",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-252-8500",
            "fax_number": "503-257-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND ADVENTIST COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-252-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACS Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.