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Providence Health & Service - Oregon — NPI 1023738424, Portland, OR | NPI Central

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Providence Health & Service - Oregon

NPI 1023738424 · PACE Provider Organization · Portland, OR

Provider details

NPI number: 1023738424
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Parent organization: Providence Health & Services - Oregon
Authorized official: Donald Anderson, Assistant Secretary of Enrollments

Practice location

4400 Ne Halsey St

Building 1, Ste 200

Portland, OR 97213

Phone: (503) 215-6556

Fax: (503) 215-0685

More OR providers

Mailing address

4400 Ne Halsey St

Portland, OR 97213

Registry dates

Enumerated: 2022-08-29
Last updated: 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.