Organization · Type 2 NPI

Providence Health & Services - Oregon

Psychiatric Hospital Unit · Portland, OR

NPI number 1023194271 Active

Practice location

4805 NE Glisan St
Portland, OR 97213-2933

Call (503) 215-4323 Map

Fax (503) 215-0297

Mailing address

PO Box 31001-4199
Pasadena, CA 91110-4199

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Unit Primary	273R00000X	None listed
General Acute Care Hospital	282N00000X	None listed

Psychiatric Hospital Unit: In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent perso…

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NPI record

NPI: 1023194271
Entity type: Organization (Type 2)
Issued: Oct 31, 2006
Last updated: May 14, 2025
Status: Active
Subpart: Yes of Providence Health & Services - Oregon

Other names

<unavail>
Providence Portland Medical Center · doing business as
Providence Portland Medical Center · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollments
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023194271

Providence Health & Services - Oregon's National Provider Identifier is 1023194271, issued on Oct 31, 2006. The primary taxonomy on file is Psychiatric Hospital Unit (273R00000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2025.