PROVIDENCE HEALTH & SERVICES OREGON
NPI 1710152798
Prosthetic/Orthotic Supplier in Portland, OR

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

The NPI number for Providence Health & Services Oregon is 1710152798. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Providence Transitions-The Mary Clark Appearance Center.

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

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since April 29, 2008

4805 NE GLISAN ST, CANCER CENTER 1ST FLOOR, PORTLAND, OR 97213(503) 215-8998(503) 215-3201 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, Dec 6, 2018 (2 updates tracked since 2018).

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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 1710152798), doing business as Providence Transitions-the Mary Clark Appearance Center, is a healthcare organization registered as a prosthetic/orthotic supplier in Portland, Oregon and active in the NPI registry since April 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710152798

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address4805 NE GLISAN ST, CANCER CENTER 1ST FLOORPortland, OR 97213-2933

Mailing AddressPo Box 5936 APortland, OR 97228-5936 · (503) 215-8998 · Fax (503) 215-3201

Phone(503) 215-8998

Fax(503) 215-3201

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateApril 29, 2008

Last NPPES UpdateMay 16, 20252 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1710152798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

4805 NE GLISAN ST, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Transitions-the Mary Clark Appearance Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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.

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 1710152798. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Providence Transitions-The Mary Clark Appearance Center.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4805 NE Glisan St Cancer Center 1st Floor, Portland, OR 97213. The listed phone number is (503) 215-8998.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

What insurance does Providence Health & Services Oregon accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan 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.