PROVIDENCE HEALTH & SERVICES-OREGON (NPI# 1558689653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558689653 |
Entity Type | Organization |
Organization Name | PROVIDENCE HEALTH & SERVICES-OREGON |
Other Organization Name | PROVIDENCE CHILD CENTER |
Practice Address |
830 Ne 47th Ave Attn: Finance Portland OR 97213-2212 |
Practice Telephone | 5032154483 |
Practice Fax Number | 5032150660 |
Mailing Telephone | 5032154483 |
Mailing Fax Number | 5032150660 |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-05-13 |
Authorized Official Name | PATRICIA JEAN BUDO (OPERATIONS ADMINISTRATOR) |
Authorized Official Telephone | 5032152413 |
Authorized Official Credential | LCSW, NHA, JD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Providence Child Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962844241 | Providence Health & Services-oregon | Hospice Care, Community Based | 580 S Main St, Mount Angel, OR 97362-9540 | 2013-07-26 |
1811384423 | Providence Health & Services-oregon | Case Management | 4900 Ne Glisan St, Portland, OR 97213-2936 | 2015-04-21 |
1073896551 | Providence Health & Services-oregon | Radiologic Technologist | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2011-09-21 |
1205119781 | Providence Health & Services-oregon | Radiologic Technologist | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2011-09-21 |
1124343215 | Providence Health & Services-oregon | Clinic/Center | 830 Ne 47th Ave, Attn: Dental Clinic, Portland, OR 97213-2212 | 2010-03-31 |
1376625137 | Providence Health & Services-oregon | Skilled Nursing Facility | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-20 |
Street Address |
830 NE 47TH AVE ATTN: FINANCE |
City | PORTLAND |
State | OR |
Zip Code | 97213-2212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053408005 | Peter John Lax | Dentist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-09 |
1225521404 | Lydia Eve Jahn | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-06-12 |
1669970521 | Gabriela Barajas Quiroz | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-25 |
1053829663 | Carol Lipson Criswell | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-17 |
1649788241 | Diane Cervi | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-17 |
1740793579 | Katie Lynn Harris | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2017-11-15 |
1629597935 | Paige Wollenzien | Dietitian, Registered | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2017-09-18 |
1831631753 | Darrick Stiff | Speech-Language Pathologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-11-09 |
1871042044 | Rebecca Spencer | Speech-Language Pathologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-09-28 |
1508313842 | Amy Grimm | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-09-02 |
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 | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
1447563010 | Jeanette Cummings, Dc, PC | Clinic/Center | 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 | 2010-07-23 |
1982921607 | Naveen Sachdev Md Inc | Clinic/Center | 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 | 2010-04-21 |
1538298336 | Oregon Sleep and Pulmonary, LLC | Clinic/Center | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-03-05 |
1538191606 | Northwest Neurological Specialists PC | Clinic/Center | 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 | 2006-07-07 |
1659939296 | The Travelling Tao | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
1689189151 | Personaleyes, LLC | Clinic/Center | 14740 Nw Cornell Rd, Portland, OR 97229-5496 | 2017-12-06 |
1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
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.