Providence Portland Medical Center

LBN: Providence Health & Services Oregon
Providence Portland Medical Center is an health care organization with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-4323, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-4323
Fax: (503) 215-0297
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1003991845
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Portland Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2006
Last updated Dec 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003991845 NPPES
Oregon Other 824986000 REGENCE CLINIC NUMBER
Oregon Other CP7961 REGENCE CLINIC NUMBER
Oregon Other 138006100 REGENCE CLINIC NUMBER
Oregon MEDICAID 150300 REGENCE CLINIC NUMBER
Oregon Other 050000000001 REGENCE CLINIC NUMBER
Oregon Other 135983 REGENCE CLINIC NUMBER
Oregon Other 3358009 REGENCE CLINIC NUMBER
Oregon Other 83917 REGENCE CLINIC NUMBER
Oregon Other 5788 REGENCE CLINIC NUMBER
Oregon Other 194075800 REGENCE CLINIC NUMBER

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