PROVIDENCE HEALTH & SERVICES OREGON; NPI #1205924313

Contact Information

PROVIDENCE HEALTH & SERVICES OREGON

6410 NE HALSEY ST
SUITE 300
PORTLAND, OR 97213-4742

Phone: 503-215-2273
Fax: 503-215-8274
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for PROVIDENCE HEALTH & SERVICES OREGON

NPI # 1205924313

LBN Legal business name PROVIDENCE HEALTH & SERVICES OREGON

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2006

Last updated 05/16/2025 - More than a year ago

Identifiers

Medicaid

241350

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVIDENCE HEALTH & SERVICES OREGON

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for PROVIDENCE HEALTH & SERVICES OREGON

Reviews for PROVIDENCE HEALTH & SERVICES OREGON