PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1336223171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336223171 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
Other Organization Name | PROVIDENCE SPECIALTY PHARMACY SERVICES-LTC |
Practice Address |
6410 Ne Halsey St Suite 400 Portland OR 97213-4742 |
Mailing Address |
Po Box 5936b Portland OR 97228-5936 |
Practice Telephone | 5032154633 |
Practice Fax Number | 5032150576 |
Mailing Telephone | 5032155033 |
Mailing Fax Number | 5032150542 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2016-12-28 |
Authorized Official Name | JAMES ARP (CHIEF EXEC COMMUNITY SERVICES) |
Authorized Official Telephone | 5038936444 |
Is Organization Subpart | Y |
Parent Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
IP0001899-CS | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 3815315 | 01 | |
OR | 233012 | 05 |
Other Name | Type Code |
---|---|
Providence Specialty Pharmacy Services-LTC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
Street Address |
6410 NE HALSEY ST SUITE 400 |
City | PORTLAND |
State | OR |
Zip Code | 97213-4742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467431452 | William J Kennedy | Internal Medicine | 6410 Ne Halsey St, Ste 300, Portland, OR 97213-4742 | 2006-01-10 |
1417312927 | Rhonda Fisher | Social Worker | 6410 Ne Halsey St, Suite 300, Portland, OR 97213-4742 | 2015-12-28 |
1780940171 | Ellen S Ragan | Social Worker | 6410 Ne Halsey St, Suite 300, Portland, OR 97213-4742 | 2012-04-10 |
1932479250 | Jennifer C Lawrence | Social Worker | 6410 Ne Halsey St, Ste 300, Portland, OR 97213-4742 | 2012-01-03 |
1801180260 | Patricia Fogarty | Internal Medicine | 6410 Ne Halsey St, Suite 300, Portland, OR 97213-4742 | 2011-06-02 |
1942516687 | Rachel Ellen Bieber | Registered Nurse | 6410 Ne Halsey St, Portland, OR 97213-4742 | 2010-08-18 |
1285945303 | Kathryne M Skinner | Social Worker | 6410 Ne Halsey St, Ste 300, Portland, OR 97213-4742 | 2010-06-23 |
1124257746 | Jennifer M Levi | Social Worker | 6410 Ne Halsey St, Suite 300, Portland, OR 97213-4742 | 2009-07-02 |
1245470640 | Ruth Ellen Medak | Internal Medicine | 6410 Ne Halsey St, Providence Health & Services, Suite 300, Portland, OR 97213-4742 | 2009-02-24 |
1285896464 | Laura Egli Condit | Dietitian, Registered | 6410 Ne Halsey St, 500, Portland, OR 97213-4742 | 2008-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
Find all providers in zip 97213 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235240391 | Evergreen Pharmaceutical, LLC | Pharmacy | 11933 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2006-08-31 |
1912017906 | Pharmerica East LLC | Pharmacy | 97 Mcalister Farm Rd, Portland, ME 04103 | 2006-08-30 |
1215976014 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2006-06-06 |
1063038826 | Bordonaro's Pharmacy Inc. | Pharmacy | 283 Main St, Portland, CT 06480-1856 | 2020-06-17 |
1235201997 | Bordonaro's Pharmacy Inc. | Pharmacy | 283 Main St, Portland, CT 06480-1856 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023440864 | Olson Pharmacy Services | Pharmacy | 617 Monroe St, Oregon City, OR 97045-2336 | 2013-08-03 |
1861773798 | Grants Pass Pharmacy, Inc. | Pharmacy | 414 Sw 6th St., Grants Pass, OR 97526-2810 | 2011-09-06 |
1003051558 | Howard's Pharmacy Inc. | Pharmacy | 101 N F St, Lakeview, OR 97630-1529 | 2008-12-12 |
1558448225 | Pill Box Drugs Inc | Pharmacy | 635 N Arrowleaf Trl, Sisters, OR 97759 | 2006-11-01 |
1881776722 | Quisenberry Pharmacies Inc. | Pharmacy | 150 Liberty St Se, Salem, OR 97301-3506 | 2006-10-19 |
1093808198 | Pill Box Drugs Inc | Pharmacy | 906 Nw Kings Blvd, Corvallis, OR 97330 | 2006-10-02 |
1871690719 | Pill Box Drugs Inc | Pharmacy | 910 Nw Kings Blvd, Corvallis, OR 97330-2505 | 2006-09-20 |
1952405664 | Dept. of Human Srvcs/office of Fin. Srvcs Dba Irs/eopc/eotc/osh/osh-p | Pharmacy | 2600 Westgate, Pendleton, OR 97801-9604 | 2006-09-12 |
1780795765 | Evergreen Pharmaceutical, LLC | Pharmacy | 259 E Barnett Rd Ste L, Medford, OR 97501-7953 | 2006-08-31 |
1316966484 | Eppik Inc | Pharmacy | 201 Villa Rd Ste A, Newberg, OR 97132-1828 | 2006-07-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - OREGON.
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.