PROVIDENCE HEALTH & SERVICES-OREGON - NPI 1376625137 - Nursing Facility/Intermediate Care Facility in Portland, OR

Q: What is Providence Health & Services-Oregon's NPI number?

The NPI number for Providence Health & Services-Oregon is 1376625137. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Providence Child Center.

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

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Providence Health & Services-oregon NPPES

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

PROVIDENCE HEALTH & SERVICES-OREGON (NPI 1376625137), doing business as Providence Child Center, is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Donald W Anderson, Assistant Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1376625137

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES-OREGON

Location Address830 NE 47TH AVEPortland, 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 OfficialDonald W AndersonAssistant Secretary For Enrollments · (425) 358-9786

Enumeration DateOctober 20, 2006

Last NPPES UpdateMay 15, 20252 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1376625137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OR · 1700250565

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X · License 1035453259 (OR)

Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X · License 1035453259 (OR)

830 NE 47TH AVE, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Child Center

Other Identifiers 3

Medicaid4570701WA

Medicaid807297OR

Other1035453259OR · Dept Of Human Svcs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

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