Organization · Type 2 NPI

Providence Health & Services Oregon

Community Based Hospice Care Agency · Portland, OR

NPI number 1205924313 Active

Practice location

6410 NE Halsey St, Suite 300
Portland, OR 97213-4742

Call (503) 215-2273 Map

Fax (503) 215-8274

Mailing address

4400 NE Halsey Street, Building 1 Suite 129
Portland, OR 97213-1545

Other practice locations

3601 SW Murray Blvd Ste 130, Beaverton, OR 97005-2354 · (503) 291-6622

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

41 other providers at this address

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NPI record

NPI: 1205924313
Entity type: Organization (Type 2)
Issued: Oct 11, 2006
Last updated: May 16, 2025
Status: Active

Other names

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Providence Hospice · doing business as
Providence Hospice · doing business as

Authorized official

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

Verify this record

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 1205924313

Providence Health & Services Oregon's National Provider Identifier is 1205924313, issued on Oct 11, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Portland, OR. The record was last updated on May 16, 2025.