1023738424 PROVIDENCE HEALTH & SERVICE - OREGON

PACE Provider Organization

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICE - OREGON
Enumeration Date
August 29, 2022
Last Update
May 16, 2025
Authorized Official
DONALD WAYNE ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
4400 NE HALSEY ST
BUILDING 1, STE 200
PORTLAND, OR 97213
Phone
(503) 215-6556
Fax
(503) 215-0685

Mailing Address

Address
4400 NE HALSEY ST
BUILDING 1, STE 200
PORTLAND, OR 97213
Phone
(503) 215-6556

Specialties & Taxonomies

Specialty Code Classification License State Primary
PACE Provider Organization
251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
005673 05 OR N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICE - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICE - OREGON's NPI number is 1023738424.
Which doctor has NPI number 1023738424?
The doctor with NPI number 1023738424 is PROVIDENCE HEALTH & SERVICE - OREGON.
What is PROVIDENCE HEALTH & SERVICE - OREGON's practice address?
PROVIDENCE HEALTH & SERVICE - OREGON's practice address is 4400 NE HALSEY ST, BUILDING 1, STE 200, PORTLAND, OR, 97213.
Which doctor practices at 4400 NE HALSEY ST, BUILDING 1, STE 200, PORTLAND, OR, 97213?
PROVIDENCE HEALTH & SERVICE - OREGON practices at 4400 NE HALSEY ST, BUILDING 1, STE 200, PORTLAND, OR, 97213.
What is PROVIDENCE HEALTH & SERVICE - OREGON's phone number?
PROVIDENCE HEALTH & SERVICE - OREGON's phone number is (503) 215-6556.
Who is (503) 215-6556?
(503) 215-6556 is the phone number for PROVIDENCE HEALTH & SERVICE - OREGON.
What is PROVIDENCE HEALTH & SERVICE - OREGON's specialty?
PROVIDENCE HEALTH & SERVICE - OREGON's specialty is PACE Provider Organization.
What type of doctor is PROVIDENCE HEALTH & SERVICE - OREGON?
PROVIDENCE HEALTH & SERVICE - OREGON is a PACE Provider Organization.
Is PROVIDENCE HEALTH & SERVICE - OREGON a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, PROVIDENCE HEALTH & SERVICE - OREGON is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is PROVIDENCE HEALTH & SERVICE - OREGON still practicing?
Yes, PROVIDENCE HEALTH & SERVICE - OREGON is currently practicing.
Is PROVIDENCE HEALTH & SERVICE - OREGON accepting new patients?
PROVIDENCE HEALTH & SERVICE - OREGON may be accepting new patients. Please call their office at (503) 215-6556 to inquire about availability.
Is NPI 1023738424 still active?
Yes, NPI 1023738424 is currently active.
Where does PROVIDENCE HEALTH & SERVICE - OREGON practice?
PROVIDENCE HEALTH & SERVICE - OREGON practices in PORTLAND, OR.