Organization · Type 2 NPI

Providence Health & Service - Oregon

PACE Provider Organization · Portland, OR

NPI number 1023738424 Active

Practice location

4400 NE Halsey St, Building 1, Ste 200
Portland, OR 97213

Call (503) 215-6556 Map

Fax (503) 215-0685

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

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About NPI 1023738424

Providence Health & Service - Oregon's National Provider Identifier is 1023738424, issued on Aug 29, 2022. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Portland, OR. The record was last updated on May 16, 2025.