Providence Health System

LBN: Providence Porland Medical Center
Providence Health System 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 Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Providence Porland Medical Center can be contacted via phone (503) 215-1111, or through Eells, Terri Lynn via phone 15032156150.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eells, Terri Lynn
Phone: 15032156150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 09000464RN Oregon

Profile Details

NPI number 1770776387
LBN Legal business name Providence Porland Medical Center
DBA Doing business as Providence Health System
Authorized official Eells, Terri Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Aug 27th, 2007 - about 17 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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