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PROVIDENCE CHILD CENTER
NPI 1124343215
Clinic/Center - Dental in Portland, OR

Active since March 31, 2010CLIA 38D0901865 · Waiver
3/5
Overall Rating
830 NE 47TH AVE, ATTN: DENTAL CLINIC, PORTLAND, OR 97213(503) 215-2400(503) 215-0660 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Child Center NPPES

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

PROVIDENCE CHILD CENTER (NPI 1124343215) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Patricia Jean Budo, Operations Administrator, as its authorized official.

NPPES Registry Identity

NPI1124343215
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-OREGON
Location Address830 NE 47TH AVE, ATTN: DENTAL CLINICPortland, OR 97213-2212
Mailing Address830 Ne 47th Ave, Attn: FinancePortland, OR 97213-2212 · (503) 215-2400 · Fax (503) 215-0660
Phone(503) 215-2400
Fax(503) 215-0660
Organization SubpartNo
Authorized OfficialPatricia Jean BudoOperations Administrator · (503) 215-2413
Enumeration DateMarch 31, 2010
✔ NPI 1124343215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
830 NE 47TH AVE, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Child Center

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 Waiver 38D0901865

Providence Child Center Lab · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0901865
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Chrissie Ott
Laboratory Phone(503) 805-9330
Laboratory LocationProvidence Child Center Lab830 NE 47th Ave, Portland, OR 97213
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Providence Child Center (CMS certification number 38A001), from CMS Care Compare.

Providence Child Center

Nursing home · Portland, OR
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number38A001
Certified Beds58 beds25 residents per day on average
Medicare & Medicaid Participant SinceSeptember 1, 1974
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
64.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
1
Infection-Control Citations
4
Fines
4 totaling $23,153.65
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

MORGAN S CASH OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
ELIN BISHOP SLPA
Specialist/Technologist (Speech-Language Assistant)
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-0719
CAROL LIPSON CRISWELL
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
CARA LEE OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
RENY EMMALINE FERRARI SLP
Speech-Language Pathologist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
MANDY MORAN
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
DR. MICHELE RADDISH MD
Pediatrics (Developmental - Behavioral Pediatrics)
830 NE 47TH AVE, PROVIDENCE NEURODEVELOPMENTAL CENTER FOR CHILDREN
PORTLAND, OR 97213
Multnomah County (503) 216-2339
JENNIFER VICTORIA MORGAN OTR/L
Occupational Therapist (Pediatrics)
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233

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 1124343215. It was assigned to this organization in the NPPES registry on March 31, 2010. The provider is doing business as Providence Child Center.

Where is Providence Health & Services-Oregon located?

Providence Health & Services-Oregon is located at 830 NE 47th Ave Attn: Dental Clinic, Portland, OR 97213. The listed phone number is (503) 215-2400.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Providence Health & Services-Oregon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0901865) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Providence Health & Services-Oregon a Medicare-certified nursing home?

Yes. Providence Child Center is a Medicare-certified nursing home with 58 certified beds.

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

CMS rates Providence Child Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Providence Health & Services-Oregon was last updated on March 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.