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
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
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
Other names (DBA / former)
- Doing business as
- Providence Elderplace - Portland
- Doing business as
- Providence Elderplace - Portland
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Frequently asked questions
- What is Providence Health & Service - Oregon's NPI number?
- Providence Health & Service - Oregon's National Provider Identifier (NPI) is 1023738424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Service - Oregon?
- Providence Health & Service - Oregon is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Providence Health & Service - Oregon located?
- Providence Health & Service - Oregon's practice location on file with NPPES is 4400 Ne Halsey St, Portland, OR 97213.
- What is Providence Health & Service - Oregon's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Service - Oregon is (503) 215-6556.
- Who is the authorized official for Providence Health & Service - Oregon?
- The authorized official listed on Providence Health & Service - Oregon's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Service - Oregon's NPI active?
- Yes — Providence Health & Service - Oregon's NPI (1023738424) is active in the NPPES registry as of the last update on 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.