Organization · Type 2 NPI

Providence Health & Services-Oregon

Nursing Facility/Intermediate Care Facility · Portland, OR

NPI number 1376625137 Active

Practice location

830 NE 47th Ave
Portland, OR 97213-2212

Call (503) 215-2400 Map

Fax (503) 215-0660

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X1700250565 (OR)
Pediatric Skilled Nursing Facility 3140N1450X1035453259 (OR)
Child Physical Disabilities Respite Care 385HR2065X1035453259 (OR)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1376625137

Providence Health & Services-Oregon's National Provider Identifier is 1376625137, issued on Oct 20, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Portland, OR. The record was last updated on May 15, 2025.