OrganizationActive
Providence Health System Oregon
NPI 1023098118 · Multi-Specialty Clinic/Center · Portland, OR
Provider details
- NPI number
- 1023098118
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollment(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4540 Ne Glisan St
Portland, OR 97213-2333
Phone: (503) 215-3738
Fax: (503) 215-6942
Street-level locationGet directions
Mailing address
13007 Ne Glisan St
Portland, OR 97230-2545
Other names (DBA / former)
- Doing business as
- Providence Elder Place Portland
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.