DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE HEALTH SYSTEM OREGON

Active Organization

Multi-Specialty Clinic · PORTLAND, OR

Registration Details

NPI Number
1023098118
Provider Type
Organization
NPI Issued
Jan 17, 2006 (20.262040968193 yrs)
Last Updated
May 16, 2025

Practice Information

Address
4540 NE GLISAN ST
PORTLAND, OR, 972132333
Browse OR providers · Browse ZIP 97213
Phone
5032153738
Fax
5032156942
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.