OrganizationActive
Providence Health & Service - Oregon
NPI 1023738424 · PACE Provider Organization · Portland, OR
Providence Health & Service - Oregon is a PACE Provider Organization organization in Portland, OR (NPI 1023738424).
Provider details
- NPI number
- 1023738424
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Practice location
4400 Ne Halsey St
Building 1, Ste 200
Portland, OR 97213
Phone: (503) 215-6556
Fax: (503) 215-0685
Street-level locationGet directions
Mailing address
4400 Ne Halsey St
Portland, OR 97213
Registry dates
- Enumerated
- 2022-08-29
- 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.