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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1396818993
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Portland, OR

Active since November 15, 2006
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-4323(503) 215-0297 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, May 23, 2022, Apr 19, 2022 (3 updates tracked since 2022).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1396818993), doing business as Providence Portland Medical Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1396818993
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing AddressPo Box 3395Portland, OR 97208-3395 · (503) 215-4323 · Fax (503) 215-0297
Phone(503) 215-4323
Fax(503) 215-0297
Organization SubpartYesParent: Providence Health & Services - Oregon
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1396818993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
4805 NE GLISAN ST, Portland, OR 97213
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Other Names 1

Doing Business AsProvidence Portland Medical Center

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 Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1396818993. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Providence Portland Medical Center.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-4323.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.