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  • 385206
CCN: 385206 NPI: 1962402271 Organization

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5353 COLUMBUS ST SE
ALBANY, OR 973227136

Contact Information

  • Phone 5419287232
  • Fax 5419171399
  • Enumeration Date 2005-07-28
  • Last Updated 2025-09-11

Taxonomies

  • Code: 313M00000X License State: OR
  • Code: 314000000X (Primary) License State: OR

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 1.012529663
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 1.0
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 1.0
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 0.992
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 0.9916921208
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 1.0189696699
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 0.9802457176
censusDivision 9
cbsaActualGeographicLocation 10540
providerType 38
vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99
cbsaActualGeographicLocation 10540
providerType 38
specialPaymentIndicator
carrierCode 02302
localityCode 99

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