Active NPI
Healthcare Resources Northwest Inc
- Preferred Provider Organization
- Portland, OR
National Provider Identifier
1811940422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 433125
- Legal business name
- HEALTHCARE RESOURCES NORTHWEST INC
- Practice address
- 305 NE 102ND Ave
Suite 250
Portland, OR 97220-4161 - Phone
- (503) 261-6000
- Fax
- (503) 261-6060
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond K Holm
- Title
- Chief Financial Officer
- Phone
- (503) 251-6266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 433125 | OR | Primary |
Addresses
Primary practice location
305 NE 102ND Ave
Suite 250
Portland, OR 97220-4161
Mailing address
305 NE 102ND Ave
Suite 250
Portland, OR 97220-4161
Phone (503) 261-6000
Other names 1
- UNITED HEALTH NETWORK INC
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to 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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1699731455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811940422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE 102ND AVE",
"address_2": "SUITE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204161",
"telephone_number": "503-261-6000",
"fax_number": "503-261-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE 102ND AVE",
"address_2": "SUITE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204161",
"telephone_number": "503-261-6000",
"fax_number": "503-261-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE RESOURCES NORTHWEST INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLM",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "503-251-6266",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "OR",
"license": "433125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UNITED HEALTH NETWORK INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.