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PROVIDENCE ST VINCENT DEPARTMENT OF MEDICINE
NPI 1235259532
Clinic/Center in Portland, OR

Active since March 30, 2007
9205 SW BARNES RD, SUITE 20, PORTLAND, OR 97225(503) 216-2229(503) 216-4041 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence St Vincent Department Of Medicine NPPES

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

PROVIDENCE ST VINCENT DEPARTMENT OF MEDICINE (NPI 1235259532) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since March 2007. The organization lists Shelly Handkins, Chief Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1235259532
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address9205 SW BARNES RD, SUITE 20Portland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-2229
Fax(503) 216-4041
Organization SubpartYesParent: Prov St. Vincent Medical Ctr
Authorized OfficialShelly HandkinsChief Finance Officer · (503) 216-2229
Enumeration DateMarch 30, 2007
Last NPPES UpdateJune 20, 2013
✔ NPI 1235259532 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).
9205 SW BARNES RD, Portland, OR 97225
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Other Names 1

Doing Business AsProvidence St Vincent Department Of Medicine

Other Identifiers 1

Medicaid063768OR

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. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 1235259532. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Providence St Vincent Department Of Medicine.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9205 SW Barnes Rd Suite 20, Portland, OR 97225. The listed phone number is (503) 216-2229.

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

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

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.