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

Providence Health & Services-Oregon

Organization Nursing Facility/Intermediate Care Facility · NPI 1376625137

Providence Health & Services-Oregon is a Nursing Facility/Intermediate Care Facility in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

830 NE 47th Ave
Portland, OR 97213-2212
Phone: (503) 215-2400
Fax: (503) 215-0660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 1700250565 (OR)
Pediatric Skilled Nursing Facility Taxonomy 3140N1450X · Licence 1035453259 (OR)
Child Physical Disabilities Respite Care Taxonomy 385HR2065X · Licence 1035453259 (OR)

Record details

NPI number1376625137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollments · (425) 358-9786
Other names Providence Child Center; Providence Child Center
NPI enumeratedOctober 20, 2006
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address830 Ne 47th Ave, Attn: Finance, Portland, OR 97213-2212

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