PROVIDENCE (NPI# 1316473564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316473564 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE |
| Practice Address |
9427 Sw Barnes Rd Sutie 295 Portland OR 97225 |
| Mailing Address |
9205 Sw Barnes Rd Portland OR 97225 |
| Practice Telephone | 5032163299 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | JANICE BURGER (CEO) |
| Authorized Official Telephone | 5032161234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567991 | Providence | Non-emergency Medical Transport (VAN) | 17 Daisy Ln, Foxworth, MS 39483-4868 | 2018-11-19 |
| 1043610157 | Providence | General Acute Care Hospital | 4528 Purdue Avenue Northeast, Seattle, WA 98105 | 2014-08-26 |
| 1417209628 | Providence | General Acute Care Hospital | 101 W 8th Avenue, Providence Hospital, Spokane, WA 99204-2307 | 2012-10-11 |
| 1821248402 | Providence | General Acute Care Hospital | 5019 126th St Ne, Marysville, WA 98271-9062 | 2008-09-19 |
| 1124246244 | Providence | Case Management | 43545 Kirkland Ave, Apt.36, Lancaster, CA 93535-4668 | 2007-04-23 |
| 1801918982 | Providence | General Acute Care Hospital | 662 Purdy St, Unit 214, Birmingham, MI 48009-1731 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence & Co. LLC | 418 Hickory St., Broomfield, CO 80020 |
| New York State Corporations | PROVIDENCE & SONS GENERAL CONSTRUCTION INC | 465 Bristol Street, Brooklyn, Ny 11212 |
| North Carolina Corporations | Providence 1 Fitness Inc. | 879 S Marye Dr, Graham, NC 27253 |
| Washington State Corporations | PROVIDENCE 107, LLC | 6801 Ripley Ln N, Renton, WA 98056 |
| Washington State Corporations | PROVIDENCE 1402 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 1705 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Washington State Corporations | PROVIDENCE 2, LLC | 2223 Aqua Vista Ct, Gig Harbor, WA 98335-1531 |
| Colorado Business Entities | Providence 207, LLC | 999 South Logan Street, Suite 200, Denver, CO 80209 |
| Washington State Corporations | PROVIDENCE 4825 LLC | 14724 Bothell Way Ne, Lk Forest Pk, WA 98155-7608 |
| Colorado Business Entities | Providence 600 East Broadway LLC | 4833 Front Street, Ste 410, Castle Rock, CO 80104 |
| Street Address |
9427 SW BARNES RD SUTIE 295 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851363 | Bernard A Gasch | Dermatology | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2005-06-16 |
| 1316318124 | Jun-nicole Matsushita | Doula | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2015-10-20 |
| 1457759318 | Providence Health & Services - Oregon | Pediatrics | 9427 Sw Barnes Rd, Ste 395, Portland, OR 97225-6652 | 2014-12-09 |
| 1912324963 | Transitional Care Alliance | Nurse Practitioner | 9427 Sw Barnes Rd, Portland, OR 97225-6652 | 2014-03-27 |
| 1760818447 | Meegan Marie Mangum | Physician Assistant | 9427 Sw Barnes Rd, Suite 498, Portland, OR 97225-6652 | 2013-09-25 |
| 1083059778 | Providence Health & Services - Oregon | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Suite 599, Portland, OR 97225-6652 | 2013-05-08 |
| 1912341108 | Emmanuel Rey Ariola | Registered Nurse | 9427 Sw Barnes Rd, Suite 495, Portland, OR 97225-6652 | 2013-04-18 |
| 1023359213 | Cheri Lynn Belling | Nurse Practitioner | 9427 Sw Barnes Rd, Suite 595, Portland, OR 97225-6652 | 2013-03-13 |
| 1639436074 | Alison Christy | Psychiatry & Neurology | 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225-6652 | 2012-04-23 |
| 1477827509 | Providence Health & Services - Oregon | Clinic/Center | 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225-6640 | 2012-03-07 |
| 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.