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Contact Information

PROVIDENCE HEALTH & SERVICES - OREGON
4805 NE GLISAN ST
1ST FLOOR, NORTH TOWER
PORTLAND, OR97213-2933
 Phone: 503-215-3219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - OREGON

NPI Number 1447652797
LBN Legal business name PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2014
Last updated 06/30/2025 - About 11 months ago
Identifiers n/a
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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