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

Providence Portland Medical Center

Organization Clinic/Center · NPI 1134240021

Providence Portland Medical Center is a Clinic/Center in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4805 NE Glisan St Ste BG05
Portland, OR 97213-2933
Phone: (503) 215-2392
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1134240021
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Portland Medical Center
Authorized official William Olson — Chief Finance Officer · (503) 215-6241
Other names Providence Hospitalists East
NPI enumeratedApril 2, 2007
Last updated in NPPESOctober 30, 2007
Mailing addressPo Box 3178, Portland, OR 97208-3178

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