Provider Demographics
NPI:1659644912
Name:IQH INTEGRATED QUALITY HEALTHCARE
Entity Type:Organization
Organization Name:IQH INTEGRATED QUALITY HEALTHCARE
Other - Org Name:HALSEY URGENT CARE & FAMILY PRACTICE (IQH)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-235-0109
Mailing Address - Street 1:14606 SE HARRISON ST
Mailing Address - Street 2:11155 NE HALSEY ST
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-2755
Mailing Address - Country:US
Mailing Address - Phone:971-235-0109
Mailing Address - Fax:
Practice Address - Street 1:11155 NE HALSEY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-2024
Practice Address - Country:US
Practice Address - Phone:971-235-0109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service