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PROVIDENCE MILWAUKIE HOSPITAL
NPI 1215168711
General Acute Care Hospital in Milwaukie, OR

Active since July 31, 2009CLIA Certified · 2 labs
10150 SE 32ND AVE, MILWAUKIE, OR 97222(503) 513-8338 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Providence Milwaukie Hospital NPPES

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

PROVIDENCE MILWAUKIE HOSPITAL (NPI 1215168711) is a healthcare organization registered as a general acute care hospital in Milwaukie, Oregon and active in the NPI registry since July 2009. The organization holds 2 active CLIA laboratory certificates and lists Evon Chinyere Anukam, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1215168711
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROVIDENCE MILWAUKIE HOSPITAL
Location Address10150 SE 32ND AVEMilwaukie, OR 97222-6516
Mailing Address10150 Se 32nd AveMilwaukie, OR 97222-6516 · (503) 513-8338
Phone(503) 513-8338
Organization SubpartNo
Authorized OfficialEvon Chinyere AnukamPharmacist · (503) 513-8338
Enumeration DateJuly 31, 2009
✔ NPI 1215168711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in OR · RPH-0010023
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 ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License RPH-0010023 (OR)
10150 SE 32ND AVE, Milwaukie, OR 97222
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Other Identifiers 2

Medicaid175620OR
Other38-0082Medicare

CLIA Laboratory Certificates CMS CLIA 2

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 38D0624625

Providence Milwaukie Hospital Laboratory · Milwaukie, OR
Active · expires Dec 31, 2027
CLIA Number38D0624625
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDouglas P. Blackall
Laboratory Phone(503) 513-8165
Laboratory LocationProvidence Milwaukie Hospital Laboratory10150 SE 32nd Ave, Milwaukie, OR 97222
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 38D2106661

Providence Milwaukie Hospital Anticoagulation Clinic · Milwaukie, OR
Active · expires Dec 21, 2027
CLIA Number38D2106661
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorWendy Eckhart
Laboratory Phone(503) 513-8343
Laboratory LocationProvidence Milwaukie Hospital Anticoagulation Clinic3300 SE Dwyer Drive, Ste 304, Milwaukie, OR 97222
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.

JONATHAN HATTENHAUER D.O.
Internal Medicine (Gastroenterology)
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 215-5895
JANINE TRACY VANSANT MD
Internal Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8641
DR. JAMES EDWARD MARAS M.D.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334
STEVEN J REDMOND MD
Hospitalist
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8695
CHAD BYARS M.D.
Emergency Medicine
10150 SE 32ND AVE
PORTLAND, OR 97222
Clackamas County (503) 513-1031
DR. MARK N. ROBERTS D.O.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334
DR. PAUL VINCENT SKILES M.D.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334
NATHAN E SHARP CRNA
Nurse Anesthetist, Certified Registered
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8300

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 Milwaukie Hospital's NPI number?

The NPI number for Providence Milwaukie Hospital is 1215168711. It was assigned to this organization in the NPPES registry on July 31, 2009.

Where is Providence Milwaukie Hospital located?

Providence Milwaukie Hospital is located at 10150 SE 32nd Ave, Milwaukie, OR 97222. The listed phone number is (503) 513-8338.

What is Providence Milwaukie Hospital's specialty?

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

Does Providence Milwaukie Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Providence Milwaukie Hospital was last updated on July 31, 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.