PROVIDENCE ST. VINCENT MEDICAL CENTER (NPI# 1194122390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194122390 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE ST. VINCENT MEDICAL CENTER |
| Practice Address |
9205 Sw Barnes Rd Portland OR 97225-6603 |
| Practice Telephone | 5032162621 |
| Practice Fax Number | 5032167488 |
| Mailing Telephone | 5032162621 |
| Mailing Fax Number | 5032167488 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | DR. WEIFANG YU (RESIDENT) |
| Authorized Official Telephone | 5032162621 |
| Authorized Official Credential | MD,PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PG170878 | OR | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROVIDENCE ST. VINCENT MEDICAL CENTER | 9205 Sw Barnes Rd, Portland, OR 97225 |
| Street Address |
9205 SW BARNES RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041526 | Nate D Quilici | Specialist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2005-05-23 |
| 1487251773 | Leah Burke Chapman | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-10-08 |
| 1366054819 | Jennifer Haas Pierron | Registered Nurse | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-08-17 |
| 1831717974 | Steffany Bixby | Dietitian, Registered | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-07-06 |
| 1477174076 | Nathaniel Edwards | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1801417407 | Karissa Kunihira | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1720609324 | Jakob Feeney | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1710508320 | Banu Ramachandran | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1083235964 | Amy Pohodich | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| 1740801620 | Steven C Freeman | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447665526 | Linda Damaskos | General Acute Care Hospital | 310 Nw Upyown Terrace, 2a, Portland, OR 97210 | 2014-06-26 |
| 1093132946 | Mercy Hospital | General Acute Care Hospital | 175 Fore River Pkwy, Portland, ME 04102-2779 | 2014-03-27 |
| 1003246174 | Rebecca Changizian | General Acute Care Hospital | 2929 Ne 25th Ave, Portland, OR 97212-3460 | 2013-11-26 |
| 1679879662 | Veterans Hospital | General Acute Care Hospital | 3710 S.w. U.S. Veterans Road, Portland, OR 97239-2964 | 2011-02-08 |
| 1083866933 | Providence St Vincent Hospital | General Acute Care Hospital | 1235 Ne 47th Ave, Suite 285, Portland, OR 97213-2100 | 2008-10-22 |
| 1205024387 | Vetrans Administration | General Acute Care Hospital | 6215 Ne Broadway St, Portland, OR 97213-4713 | 2007-10-14 |
| 1235337551 | Kalei Renae Kadau | General Acute Care Hospital | 1717 Sw Park Ave Apt 813, Portland, OR 97201-3240 | 2007-07-08 |
| 1134242506 | Portland Veterans Affairs Medical Center | General Acute Care Hospital | 5430 Sw Cameron Rd, Portland, OR 97221 | 2007-04-09 |
| 1487788147 | Portland Va Medical Center | General Acute Care Hospital | 5404 Sw Vermont St, Portland, OR 97219-1034 | 2007-03-15 |
| 1457436248 | Kathleen M Hamel | General Acute Care Hospital | 3710 Se Us Veterans Hospital Rd, Portland, OR 97207-9823 | 2006-10-27 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.