1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Pharmacy
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1336223171
Pharmacy - Long Term Care Pharmacy in Portland, OR

Active since October 25, 2006
6410 NE HALSEY ST, SUITE 400, PORTLAND, OR 97213(503) 215-4633(503) 215-0576 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Aug 8, 2024, Nov 2, 2021 and 1 more (4 updates tracked since 2016).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1336223171), doing business as Providence Specialty Pharmacy Services-ltc, is a healthcare organization registered as a long term care pharmacy in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1336223171
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address6410 NE HALSEY ST, SUITE 400Portland, OR 97213-4742
Mailing AddressPo Box 5936bPortland, OR 97228-5936 · (503) 215-5033 · Fax (503) 215-0542
Phone(503) 215-4633
Fax(503) 215-0576
Organization SubpartYes
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1336223171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in OR · IP0001899-CS
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
6410 NE HALSEY ST, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Specialty Pharmacy Services-ltc

Other Identifiers 2

Other3815315Ncpdp
Medicaid233012OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Providence Specialty Pharmacy Svcs carries, from the Medicare DMEPOS supplier directory.

Providence Specialty Pharmacy Svcs

DMEPOS supplier · Portland, OROperated by Providence Health & Services Oregon
✔

Accepts Medicare assignment

Providence Specialty Pharmacy Svcs agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20483483
Medicare Participant SinceMay 11, 2015
Supplier Location6410 NE Halsey St Ste 400Portland, OR 97213
Phone(503) 215-4633
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Implanted Infusion Pumps and/or Supplies
Implantable infusion pumps, catheters, refill kits
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

JENNIFER MCEVOY
Occupational Therapist
6410 NE HALSEY ST, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-4321
PROVIDENCE HEALTH & SERVICES OREGON
Internal Medicine (Hospice and Palliative Medicine)
6410 NE HALSEY ST, SUITE 300
PORTLAND, OR 97213
Multnomah County (503) 215-4691
JILL VONDERHAAR
Physical Therapist
6410 NE HALSEY ST, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-4321
RONALD I MIL OT
Occupational Therapist
6410 NE HALSEY ST
PORTLAND, OR 97213
Multnomah County (971) 337-5567
KATE OLSEN
Registered Nurse
6410 NE HALSEY ST, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-4321
NADIA LYNN SANCHEZ- TAMBERELLI RN
Registered Nurse (Home Health)
6410 NE HALSEY ST
PORTLAND, OR 97213
Multnomah County (503) 215-4321
KRISTOPHER EMERY
Registered Nurse
6410 NE HALSEY ST, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-4321
AMANDA KOHLWEY
Registered Nurse
6410 NE HALSEY ST, STE 200
PORTLAND, OR 97213
Multnomah County (503) 215-4321

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 1336223171. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Providence Specialty Pharmacy Services-LTC.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 6410 NE Halsey St Suite 400, Portland, OR 97213. The listed phone number is (503) 215-4633.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Providence Health & Services - Oregon accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Providence Specialty Pharmacy Svcs accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.