PROVIDENCE HEALTH & SERVICES - OREGON


Address: 1510 Division St, Suite 200, Oregon City, OR 97045-1599
Phone: 5036506880

PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1891026647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891026647
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name PROVIDENCE MEDICAL GROUP OREGON CITY
Practice Address 1510 Division St
Suite 200
Oregon City
OR 97045-1599
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5036506880
Practice Fax Number 5036506888
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Enumeration Date 2010-01-19
Last Update Date 2014-12-26
Authorized Official Name KEENAN B FREEMAN (CFO)
Authorized Official Telephone 5038936524
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 500619146 05

Other Provider/Organization Names

Other Name Type Code
Providence Medical Group Oregon City Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1510 DIVISION ST
SUITE 200
City OREGON CITY
State OR
Zip Code 97045-1599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750387049 Kevin Raymond Johnson I Surgery 1510 Division St, Ste 210, Oregon City, OR 97045-1599 2005-06-22
1558819235 Heather Mirenda Social Worker 1510 Division St, 90, Oregon City, OR 97045-1581 2016-09-12
1538454665 Providence Health & Services - Oregon Internal Medicine 1510 Division St, Suite 130, Oregon City, OR 97045-1572 2011-06-16
1346533585 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Suite 100, Oregon City, OR 97045-1572 2011-05-20
1144529306 Jennifer Eileen Shepard Pediatrics 1510 Division St, Suite 280, Oregon City, OR 97045-1581 2011-03-26
1194057497 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Ste 170, Oregon City, OR 97045-1581 2010-02-11
1730411034 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Suite 210, Oregon City, OR 97045-1599 2010-02-11
1821320128 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Ste 170, Oregon City, OR 97045-2551 2010-02-11
1942454087 Willamette Falls Hospital Physical Medicine & Rehabilitation 1510 Division St, Suite 170, Oregon City, OR 97045-1581 2008-11-14
1962665232 Willamette Falls Hospital Surgery 1510 Division St, Ste 210, Oregon City, OR 97045-1581 2008-07-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528625621 Dylan Wile Physical Therapist 19721 Or 213, Oregon City, OR 97045 2019-05-23
1952871576 April Saylor Dental Hygienist 15530 S. Morel Dr, Oregon City, OR 97045 2018-11-27
1598251688 Sara Noelle Wetten Dental Assistant 1900 Mclouglin Blvd #68, Oregon City, OR 97045 2018-07-02
1649761941 Carol Ann Cranfill Specialist 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 2018-05-22
1790286029 Kathleen Walker Registered Nurse 110 Beaverceek Rd., Oregon City, OR 97045 2018-02-22
1174032429 Amanda Brannin Dental Hygienist 15018 Pebble Beach Dr, Oregon City, OR 97045 2017-09-28
1003332669 Clackamas Medical Supplies Durable Medical Equipment & Medical Supplies 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 2017-08-16
1154870129 Staci S Meador Nurse Practitioner 1508 Division St Ste 200, Oregon City, OR 97045 2016-10-01
1821541939 Samuel R. Sabo General Practice 18171 Waldow Rd., Oregon City, OR 97045 2016-07-26
1619339967 Carly Chambers Physical Therapist 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 2016-03-25
Find all providers in zip 97045

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861038382 Clackamas County Clinic/Center 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 2019-11-19
1679070437 Mallory & White PC Clinic/Center 619 Madison St Ste 108, Oregon City, OR 97045-2354 2018-04-09
1700259843 Pokelndia LLC Clinic/Center 1300 John Adams St, Ste 119, Oregon City, OR 97045-1695 2015-11-12
1346533585 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Suite 100, Oregon City, OR 97045-1572 2011-05-20
1396067773 Providence Health & Services - Oregon Clinic/Center 1500 Division St, Oregon City, OR 97045-1527 2010-02-25
1194057497 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Ste 170, Oregon City, OR 97045-1581 2010-02-11
1730411034 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Suite 210, Oregon City, OR 97045-1599 2010-02-11
1821320128 Providence Health & Services - Oregon Clinic/Center 1510 Division St, Ste 170, Oregon City, OR 97045-2551 2010-02-11
1669429262 Allergy Asthma Clinic PC Clinic/Center 14279 Glen Oak Rd, Ste 204, Oregon City, OR 97045-8008 2006-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932715935 J.w. Smith, D.c., LLC Clinic/Center 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 2020-09-16
1427662204 Edmund H. Torkelson Do, PC Clinic/Center 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 2020-08-31
1134746589 Redmond Veterinary Clinic PC Clinic/Center 1785 Nw 6th St, Redmond, OR 97756-1204 2020-07-01
1801413240 Gfm LLC Clinic/Center 1235 Se Division St Ste 114, Portland, OR 97202-1042 2020-07-01
1184240277 Evans & Company Healthcare PC Clinic/Center 2330 Morada Ln, Ashland, OR 97520-3641 2020-06-24
1427674324 Northwest Pain Institute Clinic/Center 2005 Cedar St, Forest Grove, OR 97116-1701 2020-06-17
1275168759 Metatron Health LLC Clinic/Center 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 2020-03-05
1427680057 Ortc, LLC Clinic/Center 750 Biddle Rd Ste 102, Medford, OR 97504-6178 2020-02-11
1134750037 Legacy Good Samaritan Hospital and Medical Center Clinic/Center 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 2020-01-29
1063069300 Ideal Option Pllc Clinic/Center 863 Liberty St Ne, Salem, OR 97301-2451 2019-08-21
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Competitor

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City OREGON CITY
Zip Code 97045

Improve Information

Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - OREGON.

Dataset Information

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.

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