1508073651 NPI number — METRO TREATMENT OF OREGON LP

Table of content: DR. BRIANA KARI HEDMAN PHD (NPI 1821559287)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508073651 NPI number — METRO TREATMENT OF OREGON LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METRO TREATMENT OF OREGON LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508073651
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 MAITLAND CENTER PARKWAY
Provider Second Line Business Mailing Address:
SUITE 250
Provider Business Mailing Address City Name:
MAITLAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32751-4174
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-351-7080
Provider Business Mailing Address Fax Number:
407-351-6930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16420 SE DIVISION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97236-1987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-762-3130
Provider Business Practice Location Address Fax Number:
503-762-3199
Provider Enumeration Date:
05/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CALL
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, MANAGED CARE
Authorized Official Telephone Number:
407-351-7080

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM2800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)