PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1740732650
Pathology - Clinical Pathology in Portland, OR

Active since October 26, 2016
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-1111 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, May 7, 2025, Oct 26, 2016 (3 updates tracked since 2016).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1740732650), doing business as Providence Portland Medical Center, is a healthcare organization registered as a clinical pathology in Portland, Oregon and active in the NPI registry since October 2016. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1740732650
Entity TypeOrganization
Primary Taxonomy207ZC0006X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateOctober 26, 2016
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1740732650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
4805 NE GLISAN ST, Portland, OR 97213

Other Names 1

Doing Business AsProvidence Portland Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213
Registered Nurse (General Practice)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, BG05
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 5L
PORTLAND, OR 97213
Registered Nurse
4805 NE GLISAN ST
PORTLAND, OR 97213

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 1740732650. It was assigned to this organization in the NPPES registry on October 26, 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 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.

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

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.