PROVIDENCE
NPI 1053636126
General Acute Care Hospital - Critical Access in Portland, OR

Q: What is St. Vincent's Hospitol's NPI number?

The NPI number for St. Vincent's Hospitol is 1053636126. It was assigned to this organization in the NPPES registry on April 1, 2010.

Q: What is St. Vincent's Hospitol's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Active since April 01, 2010CLIA Certified · 9 labs

9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-1234 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Providence NPPES

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

PROVIDENCE (NPI 1053636126) is a healthcare organization registered as a critical access in Portland, Oregon and active in the NPI registry since April 2010. The organization holds 9 active CLIA laboratory certificates and lists Linda Bryant, Nurse Manager, as its authorized official.

NPPES Registry Identity

NPI1053636126

Entity TypeOrganization

Primary Taxonomy282NC0060X

Legal Business NameST. VINCENT'S HOSPITOL

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing Address14849 Sw 116th PlTigard, OR 97224-2767 · (503) 352-4640

Phone(503) 216-1234

Organization SubpartNo

Authorized OfficialLinda BryantNurse Manager · (503) 216-1234

Enumeration DateApril 1, 2010

✔ NPI 1053636126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in OR · 090006973RN

9205 SW BARNES RD, Portland, OR 97225

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Other Names 1

Other NameProvidence

CLIA Laboratory Certificates CMS CLIA 9

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 Waiver 38D0870127

Providence Medical Group At Providence St Vincent · Portland, OR

Active · expires Mar 31, 2028

CLIA Number38D0870127

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorTom Chau

Laboratory Phone(503) 216-2621

Laboratory LocationProvidence Medical Group At Providence St Vincent9205 SW Barnes Rd, Suite Mt2800, Portland, OR 97225

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 38D0624944

Providence St Vincent Laboratory Services · Portland, OR

Active · expires Dec 31, 2027

CLIA Number38D0624944

Laboratory TypeHospital

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorDr. Allan Sacker

Laboratory Phone(503) 216-7732

Laboratory LocationProvidence St Vincent Laboratory Services9205 SW Barnes Rd, Portland, OR 97225

CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 38D0623698

Providence Women's Clinic - St Vincent's · Portland, OR

Active · expires Oct 22, 2027

CLIA Number38D0623698

Laboratory TypePhysician Office

Certificate Effective DateOctober 23, 2025

Certificate Expiration DateOctober 22, 2027

Laboratory DirectorIngrid A. Cherrytree

Laboratory Phone(503) 216-2602

Laboratory LocationProvidence Women's Clinic - St Vincent's9135 SW Barnes Rd Suite 761, Portland, OR 97225

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 38D1087233

Providence Medical Group Bridgeport-Dermatology · Tigard, OR

Active · expires Sep 13, 2027

CLIA Number38D1087233

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 14, 2025

Certificate Expiration DateSeptember 13, 2027

Laboratory DirectorDr. Matthew C. Mcclelland

Laboratory Phone(503) 216-0500

Laboratory LocationProvidence Medical Group Bridgeport-Dermatology18040 SW Lower Boones Ferry Rd #201, Tigard, OR 97224

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 38D2235633

Providence Pediatric Neurology · Portland, OR

Active · expires Sep 9, 2027

CLIA Number38D2235633

Laboratory TypePhysician Office

Certificate Effective DateSeptember 10, 2025

Certificate Expiration DateSeptember 9, 2027

Laboratory DirectorAlison Christy MD Phd

Laboratory Phone(503) 216-1012

Laboratory LocationProvidence Pediatric Neurology9427 SW Barnes Rd, Ste 395, Portland, OR 97225

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D1104606

Providence Neurological Specialties West · Portland, OR

Active · expires Sep 3, 2027

CLIA Number38D1104606

Laboratory TypePhysician Office

Certificate Effective DateSeptember 4, 2025

Certificate Expiration DateSeptember 3, 2027

Laboratory DirectorPrakash Ambady

Laboratory Phone(503) 216-1012

Laboratory LocationProvidence Neurological Specialties West9135 SW Barnes Rd, Suite 461, Portland, OR 97225

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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.

DR. NATE D QUILICI M.D.

Specialist