1376625137 PROVIDENCE HEALTH & SERVICES-OREGON

Nursing Facility/Intermediate Care Facility

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES-OREGON
Enumeration Date
October 20, 2006
Last Update
May 15, 2025
Authorized Official
DONALD W ANDERSON JR.
ASSISTANT SECRETARY FOR ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
830 NE 47TH AVE
PORTLAND, OR 972132212
Phone
(503) 215-2400
Fax
(503) 215-0660

Mailing Address

Address
830 NE 47TH AVE
ATTN: FINANCE
PORTLAND, OR 972132212
Phone
(503) 215-2400
Fax
(503) 215-0660

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pediatric Skilled Nursing Facility
Nursing Care, Pediatric
3140N1450X Skilled Nursing Facility 1035453259 OR No
Child Physical Disabilities Respite Care
Respite Care, Physical Disabilities, Child
385HR2065X Respite Care 1035453259 OR No
Nursing Facility/Intermediate Care Facility
313M00000X Nursing Facility/Intermediate Care Facility 1700250565 OR Primary

Other Identifiers

Identifier Type State Issuer
4570701 05 WA N/A
807297 05 OR N/A
1035453259 01 OR DEPT OF HUMAN SVCS

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES-OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES-OREGON's NPI number is 1376625137.
Which doctor has NPI number 1376625137?
The doctor with NPI number 1376625137 is PROVIDENCE HEALTH & SERVICES-OREGON.
What is PROVIDENCE HEALTH & SERVICES-OREGON's practice address?
PROVIDENCE HEALTH & SERVICES-OREGON's practice address is 830 NE 47TH AVE, PORTLAND, OR, 972132212.
Which doctor practices at 830 NE 47TH AVE, PORTLAND, OR, 972132212?
PROVIDENCE HEALTH & SERVICES-OREGON practices at 830 NE 47TH AVE, PORTLAND, OR, 972132212.
What is PROVIDENCE HEALTH & SERVICES-OREGON's phone number?
PROVIDENCE HEALTH & SERVICES-OREGON's phone number is (503) 215-2400.
Who is (503) 215-2400?
(503) 215-2400 is the phone number for PROVIDENCE HEALTH & SERVICES-OREGON.
What is PROVIDENCE HEALTH & SERVICES-OREGON's specialty?
PROVIDENCE HEALTH & SERVICES-OREGON's specialty is Nursing Facility/Intermediate Care Facility.
What type of doctor is PROVIDENCE HEALTH & SERVICES-OREGON?
PROVIDENCE HEALTH & SERVICES-OREGON is a Nursing Facility/Intermediate Care Facility.
Is PROVIDENCE HEALTH & SERVICES-OREGON a Nursing Facility/Intermediate Care Facility?
Yes, PROVIDENCE HEALTH & SERVICES-OREGON is a Nursing Facility/Intermediate Care Facility.
Is PROVIDENCE HEALTH & SERVICES-OREGON still practicing?
Yes, PROVIDENCE HEALTH & SERVICES-OREGON is currently practicing.
Is PROVIDENCE HEALTH & SERVICES-OREGON accepting new patients?
PROVIDENCE HEALTH & SERVICES-OREGON may be accepting new patients. Please call their office at (503) 215-2400 to inquire about availability.
Is NPI 1376625137 still active?
Yes, NPI 1376625137 is currently active.
Where does PROVIDENCE HEALTH & SERVICES-OREGON practice?
PROVIDENCE HEALTH & SERVICES-OREGON practices in PORTLAND, OR.