Providence St Vincent Medical Center

LBN: Providence Health & Services Oregon
Providence St Vincent Medical Center is an health care organization with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. 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
9205 Sw Barnes Rd Portland OR 97225-6603
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 1114015971
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence St Vincent Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 10th, 2006
Last updated Dec 3rd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114015971 NPPES
Oregon Other 194078600 US DEPT OF LABOR WC
Oregon Other 052000000001 US DEPT OF LABOR WC
Oregon MEDICAID 193805 US DEPT OF LABOR WC
Oregon Other 262286 US DEPT OF LABOR WC
Oregon Other 3342067 US DEPT OF LABOR WC
Oregon Other 5988 US DEPT OF LABOR WC
Oregon Other 10051 US DEPT OF LABOR WC
Oregon Other 138000400 US DEPT OF LABOR WC
Oregon Other CG2504 US DEPT OF LABOR WC
Oregon Other RS0004 US DEPT OF LABOR WC

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