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

Providence Health & Services Oregon

Organization Nursing Facility/Intermediate Care Facility · NPI 1417978164

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

Licensed in
OR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

540 S Main St
Mount Angel, OR 97362-9540
Phone: (503) 845-6841
Fax: (503) 845-9229
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 385018 (OR)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 385018 (OR)

Record details

NPI number1417978164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Benedictine Nursing Center; Providence Benedictine Nursing Center
NPI enumeratedJuly 21, 2006
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address540 S Main St, Mount Angel, OR 97362-9540