Providence Portland Medical Center - Child & Adolescent Psychiatric

LBN: Providence Health & Services - Oregon
Providence Portland Medical Center - Child & Adolescent Psychiatric 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 Dowling, Kathleen via phone (503) 215-4323.

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: Dowling, Kathleen
Phone: (503) 215-4323

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 023981 Oregon
Hospitals / General Acute Care Hospital 282N00000X 023981 Oregon

Profile Details

NPI number 1104113380
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Portland Medical Center - Child & Adolescent Psychiatric
Authorized official Dowling, Kathleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2011
Last updated Oct 31st, 2011 - about 13 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 1104113380 NPPES
Oregon MEDICAID 023981
Oregon MEDICAID 500400190

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