| NPI | 1003991845 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-26 |
| Last Updated | 2025-05-14 |
| Authorized Official | Donald Anderson ASSISTANT SECRETARY ENROLLMENTS Phone: 4253589786 |
| Mailing Address | Po Box 31001-4199 Pasadena, CA 91110-4199 United States Phone: (503) 451-3000 | Fax: (503) 215-0297 📍 View Map |
| Primary Practice Address | 4805 Ne Glisan St Portland, OR 97213-2933 United States Phone: (503) 451-3000 | Fax: (503) 215-0297 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | OR | 050000000001 | Providence Health Plan |
| Other (non-Medicare) | OR | 135983 | Medicaid BHS Outpt |
| Other (non-Medicare) | OR | 138006100 | Regence Hospital Number |
| MEDICAID | OR | 150300 | - |
| Other (non-Medicare) | OR | 194075800 | US Dept of Labor WC |
| Other (non-Medicare) | OR | 3358009 | Washington Medicaid |
| Other (non-Medicare) | OR | 5788 | WA Dept of Labor Hospital |
| Other (non-Medicare) | OR | 824986000 | Regence Clinic Number |
| Other (non-Medicare) | OR | 83917 | WA Dept of Labor Clinic |
| Other (non-Medicare) | OR | CP7961 | Railroad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207L00000X – Anesthesiology | - | - |
| No | 207P00000X – Emergency Medicine | - | - |
| No | 207R00000X – Internal Medicine | - | - |
| No | 207U00000X – Nuclear Medicine | - | - |
| No | 207V00000X – Obstetrics & Gynecology | - | - |
| No | 207ZP0102X – Pathology, Anatomic Pathology & Clinical Pathology | - | - |
| Yes | 282N00000X – General Acute Care Hospital | - | - |
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About NPI 1003991845
Providence Health & Services - Oregon is an organization registered in the CMS NPPES NPI Registry with NPI number 1003991845. The primary specialty listed is General Acute Care Hospital. The organization is located in Portland, OR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003991845?
NPI 1003991845 belongs to Providence Health & Services - Oregon, a General Acute Care Hospital in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003991845 active?
The current status of NPI 1003991845 in the NPPES registry is Active. The record was last updated on 2025-05-14.
What specialty is NPI 1003991845?
NPI 1003991845 is classified under the taxonomy General Acute Care Hospital. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003991845?
You can verify NPI 1003991845 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003991845?
The primary practice address on file for NPI 1003991845 is 4805 Ne Glisan St, Portland, OR 97213-2933. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003991845 issued?
NPI 1003991845 was first issued (enumerated) on 2006-10-26. The NPPES record was last updated on 2025-05-14.
Practice Location Map
Providence Health & Services - Oregon is located at 4805 Ne Glisan St, Portland, OR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Providence Health & Services - Oregon. All records sourced from the CMS NPPES registry.