PROVIDENCE PORTLAND MEDICAL CENTER
NPI 1316199987
Nurse Practitioner in Portland, OR

Q: What is Providence Portland Medical Center's NPI number?

The NPI number for Providence Portland Medical Center is 1316199987. It was assigned to this organization in the NPPES registry on October 15, 2008. The provider is doing business as Prov Nurse Practitioners East.

Q: What is Providence Portland Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 15, 2008

4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-6185 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Portland Medical Center NPPES

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

PROVIDENCE PORTLAND MEDICAL CENTER (NPI 1316199987), doing business as Prov Nurse Practitioners East, is a healthcare organization registered as a nurse practitioner in Portland, Oregon and active in the NPI registry since October 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1316199987

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROVIDENCE PORTLAND MEDICAL CENTER

Location Address4805 NE GLISAN STPortland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(503) 215-6185

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateOctober 15, 2008

Last NPPES UpdateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1316199987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4805 NE GLISAN ST, Portland, OR 97213

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Other Names 1

Doing Business AsProv Nurse Practitioners East

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SALONA SHRESTHA MD

Internal Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-2392

PROVIDENCE HEALTH & SERVICES - OREGON

General Acute Care Hospital

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 451-3000

DR. ROBERT THOMAS MARTIN M.D.

Emergency Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 297-6334

CECILIA BRADFORD CRNA

Nurse Anesthetist, Certified Registered

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

PROVIDENCE HEALTH & SERVICES - OREGON

Psychiatric Unit

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4323

GITA D GELFER DO

Hospitalist

4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MECCA CARTER

Doula

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

JESUS ERNESTO CONRIQUE GARCIA

Nurse's Aide

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

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 Portland Medical Center's NPI number?

The NPI number for Providence Portland Medical Center is 1316199987. It was assigned to this organization in the NPPES registry on October 15, 2008. The provider is doing business as Prov Nurse Practitioners East.

Where is Providence Portland Medical Center located?

Providence Portland Medical Center is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-6185.

What is Providence Portland Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Providence Portland Medical Center was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.