Providence Health & Services - Oregon

General Acute Care Hospital · Portland, OR

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At a glance

4805 Ne Glisan St, Portland, OR 97213-2933

NPPES record updated May 14, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4805 Ne Glisan St
Portland, OR 97213-2933
Professional details: NPI, taxonomy & registry record
NPI1003991845
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Registry details

Primary taxonomy
General Acute Care Hospital
Taxonomy code
282N00000X
Enumeration date
Oct 26, 2006
Record updated
May 14, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Anesthesiology

207L00000X

Emergency Medicine

207P00000X

Internal Medicine

207R00000X

Specialty details in registry

207U00000X

Obstetrics & Gynecology

207V00000X

Specialty details in registry

207ZP0102X

General Acute Care Hospital

282N00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4805 Ne Glisan St
Portland, OR 97213-2933
Phone
(503) 451-3000
Fax
(503) 215-0297
Mailing address
PO BOX 31001-4199

PASADENA, CA 911104199
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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