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PROVIDENCE PORTLAND CANCER CENTER
NPI 1790168797
General Acute Care Hospital in Portland, OR

Active since July 08, 2015
4805 NE GLISAN ST, SUITE 6N60, PORTLAND, OR 97213(503) 215-3258 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Portland Cancer Center NPPES

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

PROVIDENCE PORTLAND CANCER CENTER (NPI 1790168797) is a healthcare organization registered as a general acute care hospital in Portland, Oregon and active in the NPI registry since July 2015. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1790168797
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePROVIDENCE PORTLAND CANCER CENTER
Location Address4805 NE GLISAN ST, SUITE 6N60Portland, OR 97213-2933
Mailing Address4805 Ne Glisan St, Suite 6n60Portland, OR 97213-2933 · (503) 215-3258
Phone(503) 215-3258
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 8, 2015
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1790168797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in OR · FE172129
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
4805 NE GLISAN ST, Portland, OR 97213
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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 Portland Cancer Center's NPI number?

The NPI number for Providence Portland Cancer Center is 1790168797. It was assigned to this organization in the NPPES registry on July 8, 2015.

Where is Providence Portland Cancer Center located?

Providence Portland Cancer Center is located at 4805 NE Glisan St Suite 6n60, Portland, OR 97213. The listed phone number is (503) 215-3258.

What is Providence Portland Cancer Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Providence Portland Cancer Center was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.