1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

PROVIDENCE PORTLAND MEDICAL CENTER
NPI 1639524697
Substance Abuse Rehabilitation Facility in Portland, OR

Active since April 27, 2016
5228 NE HOYT ST, BUILDING B, PORTLAND, OR 97213(503) 574-9200 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Portland Medical Center NPPES

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

PROVIDENCE PORTLAND MEDICAL CENTER (NPI 1639524697) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since April 2016. The organization lists Billie Jean Mounts, Chief Reimbursement Officer, as its authorized official.

NPPES Registry Identity

NPI1639524697
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address5228 NE HOYT ST, BUILDING BPortland, OR 97213-3055
Mailing AddressPo Box 3395Portland, OR 97208-3395 · (503) 215-4323 · Fax (503) 215-0297
Phone(503) 574-9200
Organization SubpartNo
Authorized OfficialBillie Jean MountsChief Reimbursement Officer · (425) 687-3910
Enumeration DateApril 27, 2016
✔ NPI 1639524697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in OR · 700006
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
5228 NE HOYT ST, Portland, OR 97213
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Portland Medical Center

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY A SHIELDS LPC
Counselor (Professional)
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6474
SUSAN E JACOBY M.S. LPC
Counselor (Addiction (Substance Use Disorder))
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-1612
DAVID DAMIAN MASOLAK MD
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-4860
LESLIE JAMES CHRISTIANSON DO
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B
PORTLAND, OR 97213
Multnomah County (503) 215-6474
DANIEL MORAN FISCHER M.D.
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B, STE 300
PORTLAND, OR 97213
Multnomah County (503) 215-4860
CAROL VIRGILLITO
Social Worker (Clinical)
5228 NE HOYT ST, BUILDING B
PORTLAND, OR 97213
Multnomah County (503) 215-6474
ALEX K JENKINS MD
Psychiatry & Neurology (Psychiatry)
5228 NE HOYT ST, BLDG B, 1 ST FLOOR
PORTLAND, OR 97213
Multnomah County (503) 215-6474
SARA ZUSMAN MSW
Peer Specialist
5228 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6474

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 1639524697. It was assigned to this organization in the NPPES registry on April 27, 2016. The provider is doing business as Providence Portland Medical Center.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 5228 NE Hoyt St Building B, Portland, OR 97213. The listed phone number is (503) 574-9200.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.