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:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023194271 NPPES
Oregon MEDICAID 023981
Oregon Other 0000ZBBVW

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