Providence Psychiatry East
LBN: Providence Health & Services - Oregon
Providence Psychiatry East is an health care organization with primary practice located at 5251 Ne Glisan St Bldg A, 2Nd Floor, Portland OR 97213-3052. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-4860, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
5251 Ne Glisan St Bldg A, 2Nd Floor
Portland OR 97213-3052
Phone: (503) 215-4860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Oregon | |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | Oregon | |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | Oregon | |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | Oregon | |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | Oregon |
Profile Details
| NPI number | 1093963209 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Psychiatry East |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2008 |
| Last updated | Sep 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093963209 | NPPES |
| Oregon | MEDICAID | 500611962 | |
| Oregon | MEDICAID | 500601335 |
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