Providence Health & Services Oregon
Providence Health & Services Oregon is a Parenteral & Enteral Nutrition Supplies (DME) in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
6410 NE Halsey St Ste 400Portland, OR 97213-4742
Phone: (503) 215-4652
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
| Home Infusion Therapy Pharmacy (primary) | Taxonomy 3336H0001X · Licence RP-0001136-CS (OR) |
|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
| Specialty Pharmacy | Taxonomy 3336S0011X · Licence RP-0001136-CS (OR) |
Record details
| NPI number | 1427132265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Specialty Pharmacy Services-Infusion/Spp; Providence Specialty Pharmacy Services-Infusion/Spp |
| NPI enumerated | October 25, 2006 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | Po Box 5936b, Portland, OR 97228-5936 |