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Export Provider Record NPI 1205924313
Providence Health & Services Oregon
Organization Subpart: NO
Active
NPI Number1205924313
NPI TypeNPI-2 Organization
SpecialtyHospice Care, Community Based
Provider Details
NPI1205924313
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-10-11
Last Updated2025-05-16
Authorized OfficialDonald Anderson
ASSISTANT SECRETARY ENROLLMENTS
Phone: 4253589786
Mailing Address4400 Ne Halsey Street, Building 1 Suite 129
Portland, OR 97213-1545
United States
Phone: (503) 215-2273 | Fax: (503) 215-8274
📍 View Map
Primary Practice Address6410 Ne Halsey St, Suite 300
Portland, OR 97213-4742
United States
Phone: (503) 215-2273 | Fax: (503) 215-8274
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOR241350-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes251G00000X – Hospice Care, Community Based--
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About NPI 1205924313

Providence Health & Services Oregon is an organization registered in the CMS NPPES NPI Registry with NPI number 1205924313. The primary specialty listed is Hospice Care, Community Based. 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 2006-10-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205924313?

NPI 1205924313 belongs to Providence Health & Services Oregon, a Hospice Care, Community Based in Portland, OR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205924313 active?

The current status of NPI 1205924313 in the NPPES registry is Active. The record was last updated on 2025-05-16.

What specialty is NPI 1205924313?

NPI 1205924313 is classified under the taxonomy Hospice Care, Community Based. 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 1205924313?

You can verify NPI 1205924313 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 1205924313?

The primary practice address on file for NPI 1205924313 is 6410 Ne Halsey St, Portland, OR 97213-4742. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205924313 issued?

NPI 1205924313 was first issued (enumerated) on 2006-10-11. The NPPES record was last updated on 2025-05-16.

Practice Location Map

Providence Health & Services Oregon is located at 6410 Ne Halsey St, Portland, OR. Use the map below to find directions or verify the practice location.

📍 6410 Ne Halsey St, Portland, OR 97213-4742  ·  Open in Google Maps ↗

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.

Data Verified from CMS NPPES Last synced: 2026-08-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162