PROVIDENCE HEALTH SYSTEM
NPI 1770776387
Nursing Facility/Intermediate Care Facility in Portland, OR

Q: What is Providence Porland Medical Center's NPI number?

The NPI number for Providence Porland Medical Center is 1770776387. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is also known as Providence Health System.

Q: What is Providence Porland Medical Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since August 27, 2007

4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-1111 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Providence Health System NPPES

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

PROVIDENCE HEALTH SYSTEM (NPI 1770776387) is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since August 2007. The organization lists Terri Lynn Eells, Rn/nurse Practitioner Student, as its authorized official.

NPPES Registry Identity

NPI1770776387

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePROVIDENCE PORLAND MEDICAL CENTER

Location Address4805 NE GLISAN STPortland, OR 97213-2933

Mailing Address312 Engle AveMolalla, OR 97038-9138 · (150) 335-1019

Phone(503) 215-1111

Organization SubpartNo

Authorized OfficialTerri Lynn EellsRn/nurse Practitioner Student · 15032156150

Enumeration DateAugust 27, 2007

✔ NPI 1770776387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OR · 09000464RN

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

4805 NE GLISAN ST, Portland, OR 97213

Open in Google Maps ↗

Other Names 1

Other NameProvidence Health System

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 Porland Medical Center's NPI number?

The NPI number for Providence Porland Medical Center is 1770776387. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is also known as Providence Health System.

Where is Providence Porland Medical Center located?

Providence Porland Medical Center is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.

What is Providence Porland Medical Center's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Providence Porland Medical Center was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.