Provider Demographics
NPI:1417796541
Name:INTERMOUNTAIN CLAIMS, INC.
Entity type:Organization
Organization Name:INTERMOUNTAIN CLAIMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-924-8658
Mailing Address - Street 1:PO BOX 23547
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97281-3547
Mailing Address - Country:US
Mailing Address - Phone:503-626-6966
Mailing Address - Fax:503-626-7105
Practice Address - Street 1:112 UPLAND DR
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-9296
Practice Address - Country:US
Practice Address - Phone:360-225-6681
Practice Address - Fax:503-626-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management