<Unavail>

LBN: Providence Health & Service - Oregon
<Unavail> is an health care organization with primary practice located at 4400 Ne Halsey St Building 1, Ste 200, Portland OR 97213. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Providence Health & Service - Oregon can be contacted via phone (503) 215-6556, or through Anderson, Donald Wayne via phone (425) 358-9786.

Contact Information

Primary practice address
4400 Ne Halsey St Building 1, Ste 200 Portland OR 97213
Phone: (503) 215-6556
Fax: (503) 215-0685
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 358-9786

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1023738424
LBN Legal business name Providence Health & Service - Oregon
DBA Doing business as <Unavail>
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2022
Last updated May 16th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023738424 NPPES
Oregon MEDICAID 005673

Popular Providers