Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Oregon

Organization Psychiatric Hospital Unit · NPI 1104113380

Providence Health & Services - Oregon is a Psychiatric Hospital Unit in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
Specialties on file
2

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-4323
Fax: (503) 215-0297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X · Licence 023981 (OR)
General Acute Care Hospital Taxonomy 282N00000X · Licence 023981 (OR)

Record details

NPI number1104113380
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Washington
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Portland Medical Center - Child & Adolescent Psychiatric
NPI enumeratedJuly 7, 2011
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 3395, Portland, OR 97208-3395

Other providers in Portland