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

Providence Porland Medical Center

Organization Nursing Facility/Intermediate Care Facility · NPI 1770776387

Providence Porland Medical Center is a Nursing Facility/Intermediate Care Facility in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-1111
Show map & directions

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

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 09000464RN (OR)

Record details

NPI number1770776387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Eells — Rn/Nurse Practitioner Student · (503) 215-6150
Other names Providence Health System
NPI enumeratedAugust 27, 2007
Last updated in NPPESAugust 27, 2007
Mailing address312 Engle Ave, Molalla, OR 97038-9138

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