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 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospital Units / Psychiatric Unit 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Psychiatric Unit | 273R00000X | ||
| Hospitals / General Acute Care Hospital | 282N00000X |
Profile Details
| NPI number | 1023194271 |
|---|---|
| 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 31st, 2006 |
| Last updated | Dec 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023194271 | NPPES |
| Oregon | MEDICAID | 023981 | |
| Oregon | Other | 0000ZBBVW |
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