Organization · Type 2 NPI

Providence Health & Services Oregon

Prosthetic/Orthotic Supplier · Portland, OR

NPI number 1982790002 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Call (503) 216-5851 Map

Fax (503) 216-4686

Mailing address

PO Box 5936A
Portland, OR 98228-5936

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

485 other providers at this address

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NPI record

NPI: 1982790002
Entity type: Organization (Type 2)
Issued: Oct 5, 2006
Last updated: May 16, 2025
Status: Active
Subpart: Yes of Providence Health & Services - Oregon

Other names

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Providence Transitions-An Appearance Center · doing business as
Providence Transitions-An Appearance Center · 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 1982790002

Providence Health & Services Oregon's National Provider Identifier is 1982790002, issued on Oct 5, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Portland, OR. The record was last updated on May 16, 2025.