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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1003991845
General Acute Care Hospital in Portland, OR

Active since October 26, 2006
3/5
Hospital Overall Rating
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 451-3000(503) 215-0297 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2025, May 7, 2025, Mar 19, 2025 and 3 more (6 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1003991845), doing business as Providence Portland Medical Center, is a healthcare organization registered as a general acute care hospital in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1003991845
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199 · (503) 451-3000 · Fax (503) 215-0297
Phone(503) 451-3000
Fax(503) 215-0297
Organization SubpartYes
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateOctober 26, 2006
Last NPPES UpdateMay 14, 20256 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1003991845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
4805 NE GLISAN ST, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Portland Medical Center

Other Identifiers 10

Other194075800OR · Us Dept Of Labor Wc
Other135983OR · Medicaid Bhs Outpt
Other5788OR · Wa Dept Of Labor Hospital
Other050000000001OR · Providence Health Plan
Medicaid150300OR
Other824986000OR · Regence Clinic Number
Other138006100OR · Regence Hospital Number
Other3358009OR · Washington Medicaid
OtherCP7961OR · Railroad Medicare
Other83917OR · Wa Dept Of Labor Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20050713000608Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

676

Medicare enrollment records show 676 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 109 practice at this address and 554 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 48

Nurse Practitioner79
Internal Medicine72
Family Practice50
Emergency Medicine40
Clinical Social Worker39
Hospitalist32
Mental Health Counselor32
Neurology30
40 other specialties302

Nearest to this location (20)

See all 676
Bethany Adams, DNP, AGACNP
Nurse Practitioner
NPI 1053955047
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Laura Bennetts, MD
Internal Medicine
NPI 1760006118
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Douglas Blackall, MD
Pathology
NPI 1891885380
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-6096
✔ PECOS✔ Accepts MedicareSame address
Nathaniel Brigham, M.D.
Hospitalist
NPI 1851362578
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Austen Brown, M.D.
Emergency Medicine
NPI 1689094583
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-1111
✔ PECOS✔ Accepts MedicareSame address
Naomi Caster
Marriage and Family Therapist
NPI 1912038183
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-6000
✔ PECOSSame address
William Chapin, MD
Endocrinology
NPI 1083653679
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts MedicareSame address
David Chen, M.D.
Thoracic Surgery
NPI 1679867832
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2300
✔ PECOSSame address
Alison Conlin, MD
Medical Oncology
NPI 1841460193
4805 NE GLISAN ST STE 6N50
Portland, OR 97213
(503) 215-5696
✔ PECOS✔ Accepts MedicareSame address
John Creasy, MD
Surgical Oncology
NPI 1336415140
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-8650
✔ PECOS✔ Accepts MedicareSame address
Daniel Davila Bradley, M.D.
General Surgery
NPI 1245587823
4805 NE GLISAN ST STE 6N60
Portland, OR 97213
(503) 935-8379
✔ PECOS✔ Accepts MedicareSame address
Jane Erickson, LPC
Mental Health Counselor
NPI 1164381265
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-6000
✔ PECOSSame address
Terena Gimmillaro, DO
Family Practice
NPI 1235574955
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-4860
✔ PECOS✔ Accepts MedicareSame address
Heidi Hansen, D.M.D.
Oral Medicinist
NPI 1063655967
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts MedicareSame address
Nicole Mcmullin, LCSW
Clinical Social Worker
NPI 1528606936
4805 NE GLISAN ST
Portland, OR 97213
(503) 545-9569
✔ PECOS✔ Accepts MedicareSame address
Kristina Young, M.D., PH.D.
Radiation Oncology
NPI 1518286871
4805 NE GLISAN ST GARDEN LEVEL
Portland, OR 97213
(503) 215-6029
✔ PECOS✔ Accepts MedicareSame address
Diana Zellner, D.O.
Hospice/Palliative Care
NPI 1164876827
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1350
✔ PECOS✔ Accepts MedicareSame address
Evelyn Brosnan, M.D.
Hematology/Oncology
NPI 1497098941
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1350
✔ PECOS✔ Accepts MedicareSame address
Renee Carisio Farber, MD
Obstetrics/Gynecology
NPI 1700855517
4805 NE GLISAN ST UNIT 3K
Portland, OR 97213
(503) 215-6150
✔ PECOSSame address
Christopher Darus, MD
Gynecological Oncology
NPI 1912026600
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts MedicareSame address
See all 676 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Providence Portland Medical Center (CMS certification number 380061), from CMS Care Compare.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS Overall Rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County · (503) 215-1111
Emergency services Birthing friendly Meaningful use of EHRs

Patient Experience

HCAHPS patient survey · Jan 2023 – Dec 2023
4/5 summary rating
Nurse communication
4/5
Doctor communication
4/5
Staff responsiveness
3/5
Communication about medicines
4/5
Discharge information
4/5
Care transition
4/5
Cleanliness
2/5
Quietness
3/5
Overall hospital rating
4/5
Recommend hospital
4/5
Star ratings summarize responses from patients surveyed after discharge, collected through the CMS HCAHPS program.

Complications & Deaths 18

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for heart attack patients
12.5% No different than national
Death rate for COPD patients
9% No different than national
Death rate for heart failure patients
11.6% No different than national
Death rate for pneumonia patients
16.7% No different than national
Death rate for stroke patients
16.1% No different than national

Infections 6

Central Line Associated Bloodstream Infection (ICU + select Wards)
5 observed cases · 16.206 predicted · 16,127 patient days
0.309 Better than the national benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)
9 observed cases · 12.652 predicted · 10,185 patient days
0.711 No different than national
SSI - Colon Surgery
10 observed cases · 9.776 predicted · 359 patient days
1.023 No different than national
SSI - Abdominal Hysterectomy
0 observed cases · 1.749 predicted · 197 patient days
0.000 No different than national
MRSA Bacteremia
6 observed cases · 12.511 predicted · 114,942 patient days
0.480 Better than the national benchmark
Clostridium Difficile (C.Diff)
19 observed cases · 54.803 predicted · 111,282 patient days
0.347 Better than the national benchmark

Unplanned Hospital Visits 13

Hospital return days for heart attack patients
165 days per 100 discharges
Hospital return days for heart failure patients
380 days per 100 discharges
Hospital return days for pneumonia patients
148 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
348 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
433 No different than national
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
433 No different than national

Timely & Effective Care 15

Emergency department volume
High
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
10.9%
Healthcare workers given influenza vaccination
75%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
204 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
320 minutes
Left before being seen
8%

Maternal Health 3

Elective Delivery
158%
Exclusive Breast Milk Feeding
1931
Maternal Morbidity Structural Measure
Yes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1003991845. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Providence Portland Medical Center.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 451-3000.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

When is Providence Health & Services - Oregon's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Oregon, Hospital) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 676 clinicians in 48 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (79), Internal Medicine (72) and Family Practice (50). Of these, 109 practice at this address and 554 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Providence Health & Services - Oregon a Medicare-certified hospital?

Yes. Providence Portland Medical Center is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

What quality rating does Providence Health & Services - Oregon have?

CMS rates Providence Portland Medical Center 3 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.