PORTLAND ADVENTIST MEDICAL CENTER (NPI# 1801887658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801887658 |
| Entity Type | Organization |
| Organization Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Other Organization Name | ADVENTIST HEALTH PORTLAND |
| Practice Address |
10123 Se Market St Portland OR 97216 |
| Mailing Address |
Po Box 16800 Portland OR 97292-0800 |
| Practice Telephone | 5032572500 |
| Practice Fax Number | 5032616637 |
| Mailing Telephone | 5032572500 |
| Mailing Fax Number | 5032616637 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | JOYCE NEWMYER (CEO) |
| Authorized Official Telephone | 5032516150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 14 1127 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 158253 | 05 | |
| WA | 3312600 | 05 |
| Other Name | Type Code |
|---|---|
| Adventist Health Portland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194147074 | Portland Adventist Medical Center | Internal Medicine | 10201 Se Main St Ste 12, Portland, OR 97216-2937 | 2014-01-13 |
| 1861475642 | Portland Adventist Medical Center | Home Health | 1015 3rd St, Tillamook, OR 97141-8292 | 2005-11-25 |
| 1396727848 | Portland Adventist Medical Center | Home Health | 5835 Ne 122nd Ave, Building A; Suite #155, Portland, OR 97230-1057 | 2005-11-18 |
| 1538709498 | Portland Adventist Medical Center | Internal Medicine | 1350 Ne 122nd Ave, Portland, OR 97230-2011 | 2020-01-08 |
| 1619517588 | Portland Adventist Medical Center | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2020-01-08 |
| 1558901413 | Portland Adventist Medical Center | Family Medicine | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2020-01-08 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1972078590 | Portland Adventist Medical Center | Internal Medicine | 831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 | 2018-10-10 |
| 1881169407 | Portland Adventist Medical Center | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2018-10-10 |
| 1346715950 | Portland Adventist Medical Center | Internal Medicine | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2018-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTLAND ADVENTIST MEDICAL CENTER | 10123 Se Market St, Portland, OR 97216-2532 |
| Oregon Corporations, Companies and Business Names | PORTLAND ADVENTIST MEDICAL CENTER | 10123 Se Market St, Portland, OR 97216 |
| Street Address |
10123 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619504495 | Sandy Thao Mai Ninh | Pharmacist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-24 |
| 1154957298 | Rachel Anne Dalton | Speech-Language Pathologist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-20 |
| 1497388797 | Brooke Ottman | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2020-02-15 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1548749096 | Hospitalist Medicine Physicians of Oregon-tcg, PC | Internal Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2018-08-07 |
| 1144713876 | Patrick Caloz | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2599 | 2018-06-07 |
| 1902304413 | Rachael Veith | Dietitian, Registered | 10123 Se Market St, Portland, OR 97216-2532 | 2018-01-30 |
| 1073027447 | Christine Guppenberger | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2532 | 2017-11-21 |
| 1215459110 | Theresa Lynne Stratton | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2017-07-12 |
| 1194252718 | Garrett C Spencer | Internal Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2017-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| 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 |
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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.