Provider Demographics
NPI:1639261142
Name:EVERYWOMANS HEALTH PC
Entity Type:Organization
Organization Name:EVERYWOMANS HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-284-5220
Mailing Address - Street 1:501 N GRAHAM
Mailing Address - Street 2:#445
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-2002
Mailing Address - Country:US
Mailing Address - Phone:503-284-5220
Mailing Address - Fax:502-249-2118
Practice Address - Street 1:501 N GRAHAM
Practice Address - Street 2:#445
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-2002
Practice Address - Country:US
Practice Address - Phone:503-284-5220
Practice Address - Fax:502-249-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR076443Medicaid
ORR0000WFBHFMedicare PIN