PROVIDENCE HEALTH & SERVICES-OREGON (NPI# 1811384423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811384423 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES-OREGON |
| Other Organization Name | PROVIDENCE ELDER AT HOME |
| Practice Address |
4900 Ne Glisan St Portland OR 97213-2936 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032150750 |
| Mailing Telephone | 5032156494 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | MARK L METCALF (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5032155491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OR | Agencies | |
| N | 261Q00000X | Clinic/Center | OR | Ambulatory Health Care Facilities | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Elder At Home | 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 |
| 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 |
| 1558689653 | Providence Health & Services-oregon | Clinic/Center | 830 Ne 47th Ave, Attn: Finance, Portland, OR 97213-2212 | 2010-05-13 |
| 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 |
4900 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497933923 | Elizabeth Niemitz O'rourke | Counselor | 4900 Ne Glisan St, Portland, OR 97213-2936 | 2008-02-06 |
| 1023336526 | Diana Terry Feldstein | Family Medicine | 4900 Ne Glisan St, Portland, OR 97213-2936 | 2010-05-07 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| 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.