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 1134355985

Providence Portland Medical Center is a Clinic/Center in Portland, Oregon. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

4805 NE Glisan St 1st Fl
Portland, OR 97213-2933
Phone: (503) 215-6503
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 number1134355985
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Portland Medical Center
Authorized official William Olson — Chief Financial Officer · (503) 215-7384
Other names Providence Integrative Medicine East
NPI enumeratedJune 8, 2009
Last updated in NPPESJune 8, 2009
Mailing addressPo Box 3158, Portland, OR 97208-3158

Other providers in Portland