Providence Portland Medical Center

LBN: Providence Health & Services Oregon
Providence Portland Medical Center is an health care organization with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Clinical Pathology is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-1111, or through Anderson, Donald via phone (425) 525-5392.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X

Profile Details

NPI number 1740732650
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Portland Medical Center
Authorized official Anderson, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2016
Last updated Oct 26th, 2016 - about 10 years ago

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.

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