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PROVIDENCE INTEGRATIVE MEDICINE WEST
NPI 1033345012
Clinic/Center in Portland, OR

Active since June 04, 2009CLIA 38D0624945 · Accreditation
9135 SW BARNES RD, SUITE 161, PORTLAND, OR 97225(503) 216-0246 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Integrative Medicine West NPPES

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

PROVIDENCE INTEGRATIVE MEDICINE WEST (NPI 1033345012) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since June 2009. The organization holds an CLIA Accreditation certificate valid through December 31, 2027 and lists Dennis Noonan, Chief Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1033345012
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE ST VINCENT MEDICAL CENTER
Location Address9135 SW BARNES RD, SUITE 161Portland, OR 97225-6601
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-0246
Organization SubpartYes
Authorized OfficialDennis NoonanChief Finance Officer · (503) 216-4657
Enumeration DateJune 4, 2009
✔ NPI 1033345012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9135 SW BARNES RD, Portland, OR 97225
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Other Names 1

Doing Business AsProvidence Integrative Medicine West

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0624945

Providence St Vincent Medical Center Poct Laboratory · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0624945
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDouglas P. Blackall
Laboratory Phone(503) 216-7732
Laboratory LocationProvidence St Vincent Medical Center Poct Laboratory9205 SW Barnes Rd, Portland, OR 97225
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN LOCHER M.D.
Obstetrics & Gynecology
9135 SW BARNES RD, SUITE 761
PORTLAND, OR 97225
Washington County (503) 216-2602
GLYKERIA MANIS LCSW
Social Worker (Clinical)
9135 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MS. DONNA JEAN MAEBORI PT
Physical Therapist
9135 SW BARNES RD, SUITE 362
PORTLAND, OR 97225
Washington County (503) 216-8112
DR. BETHANY MICHELLE MCCLENATHAN M.D.
Psychiatry & Neurology (Neurocritical Care)
9135 SW BARNES RD, SUITE 461
PORTLAND, OR 97225
Washington County (503) 216-1150
DR. DANIEL B BROWN MD
Ophthalmology
9135 SW BARNES RD, SUITE 961
PORTLAND, OR 97225
Washington County (503) 292-0848
DR. AMIT KANSARA MD
Psychiatry & Neurology (Vascular Neurology)
9135 SW BARNES RD, STE 461
PORTLAND, OR 97225
Washington County (503) 216-1150
MS. CORRINE MARY YOUNG M.S., CCC-SLP
Speech-Language Pathologist
9135 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2339
NICHOLAS MARK THOMPSON PT
Physical Therapist
9135 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610

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 St Vincent Medical Center's NPI number?

The NPI number for Providence St Vincent Medical Center is 1033345012. It was assigned to this organization in the NPPES registry on June 4, 2009. The provider is doing business as Providence Integrative Medicine West.

Where is Providence St Vincent Medical Center located?

Providence St Vincent Medical Center is located at 9135 SW Barnes Rd Suite 161, Portland, OR 97225. The listed phone number is (503) 216-0246.

What is Providence St Vincent Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Providence St Vincent Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 38D0624945) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence St Vincent Medical Center was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.