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

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1285717728

Providence Health & Services - Oregon is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-4323
Fax: (503) 215-0297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1285717728
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Dir Reimb Reg Strat/Asst Sec Enroll · (425) 525-5392
Other names Providence St. Vincent Medical Center; Providence St. Vincent Medical Center
NPI enumeratedOctober 20, 2006
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing addressPo Box 3396, Portland, OR 97208-3396

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