Providence Health & Service - Oregon
Providence Health & Service - Oregon is a PACE Provider Organization in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4400 NE Halsey St Bldg 1 Ste 200Portland, OR 97213
Phone: (503) 215-6556
Fax: (503) 215-0685
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|
Record details
| NPI number | 1023738424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services - Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Elderplace - Portland; Providence Elderplace - Portland |
| NPI enumerated | August 29, 2022 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | 4400 Ne Halsey St, Building 1, Ste 200, Portland, OR 97213 |
Other providers in Portland
-
Jona Group Homes LLC
17512 NE Glisan St, Portland, OR 97230-6502 · (978) 996-0635