Organization · Type 2 NPI

Providence Health System Oregon

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1023098118 Active

Practice location

4540 NE Glisan St
Portland, OR 97213-2333

Call (503) 215-3738 Map

Fax (503) 215-6942

Mailing address

13007 NE Glisan St
Portland, OR 97230-2545

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1023098118

Providence Health System Oregon's National Provider Identifier is 1023098118, issued on Jan 17, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on May 16, 2025.