Provider Demographics
NPI:1508842527
Name:FAMILYCARE INC.
Entity Type:Organization
Organization Name:FAMILYCARE INC.
Other - Org Name:FAMILYCARE HEALTH PLANS, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-734-3147
Mailing Address - Street 1:825 NE MULTNOMAH STREET
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2157
Mailing Address - Country:US
Mailing Address - Phone:503-222-2880
Mailing Address - Fax:503-232-1895
Practice Address - Street 1:825 NE MULTNOMAH STREET
Practice Address - Street 2:SUITE 1400
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2157
Practice Address - Country:US
Practice Address - Phone:503-222-2880
Practice Address - Fax:503-345-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR154302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization