Organization · Type 2 NPI

Providence Health & Services Oregon

Clinic/Center · Portland, OR

NPI number 1003319724 Active

Practice location

5211 NE Glisan St Bldg C
Portland, OR 97213-3052

Call (503) 215-6628 Map

Fax (503) 215-6240

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

18 other providers at this address

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About NPI 1003319724

Providence Health & Services Oregon's National Provider Identifier is 1003319724, issued on Mar 9, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.