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 only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-4323, or through Anderson, Donald Wayne 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 Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1396818993
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Portland Medical Center
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2006
Last updated May 23rd, 2022 - about 3 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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