Providence Health System Oregon
Providence Health System Oregon is a Multi-Specialty Clinic/Center in Portland, Oregon. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4540 NE Glisan StPortland, OR 97213-2333
Phone: (503) 215-3738
Fax: (503) 215-6942
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1023098118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollment · (425) 358-9786 |
| Other names | Providence Elder Place Portland |
| NPI enumerated | January 17, 2006 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | 13007 Ne Glisan St, Portland, OR 97230-2545 |
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