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PROVIDENCE HEALTH & SERVICES-OREGON
NPI 1558689653
Clinic/Center - Medical Specialty in Portland, OR

Active since May 13, 2010
830 NE 47TH AVE, ATTN: FINANCE, PORTLAND, OR 97213(503) 215-4483(503) 215-0660 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Providence Health & Services-oregon NPPES

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

PROVIDENCE HEALTH & SERVICES-OREGON (NPI 1558689653), doing business as Providence Child Center, is a healthcare organization registered as a medical specialty in Portland, Oregon and active in the NPI registry since May 2010. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1558689653
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePROVIDENCE HEALTH & SERVICES-OREGON
Location Address830 NE 47TH AVE, ATTN: FINANCEPortland, OR 97213-2212
Mailing Address830 Ne 47th Ave, Attn: FinancePortland, OR 97213-2212 · (503) 215-4483 · Fax (503) 215-0660
Phone(503) 215-4483
Fax(503) 215-0660
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 13, 2010
Last NPPES UpdateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1558689653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
830 NE 47TH AVE, Portland, OR 97213
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Other Names 1

Doing Business AsProvidence Child 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.

MORGAN S CASH OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
ELIN BISHOP SLPA
Specialist/Technologist (Speech-Language Assistant)
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-0719
CAROL LIPSON CRISWELL
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
CARA LEE OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
RENY EMMALINE FERRARI SLP
Speech-Language Pathologist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
MANDY MORAN
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
DR. MICHELE RADDISH MD
Pediatrics (Developmental - Behavioral Pediatrics)
830 NE 47TH AVE, PROVIDENCE NEURODEVELOPMENTAL CENTER FOR CHILDREN
PORTLAND, OR 97213
Multnomah County (503) 216-2339
PROVIDENCE HEALTH & SERVICES-OREGON
Clinic/Center (Dental)
830 NE 47TH AVE, ATTN: DENTAL CLINIC
PORTLAND, OR 97213
Multnomah County (503) 215-2400

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 1558689653. It was assigned to this organization in the NPPES registry on May 13, 2010. The provider is doing business as Providence Child Center.

Where is Providence Health & Services-Oregon located?

Providence Health & Services-Oregon is located at 830 NE 47th Ave Attn: Finance, Portland, OR 97213. The listed phone number is (503) 215-4483.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

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 16 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.