OrganizationActive
Providence Health & Services - Oregon
NPI 1104113380 · Psychiatric Hospital Unit · Portland, OR
Provider details
- NPI number
- 1104113380
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Parent organization
- Providence Health & Services - Washington
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
- License
- 023981 (OR)
Specialties & taxonomies
Hospital Units
Hospitals
Practice location
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-4323
Fax: (503) 215-0297
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3395
Portland, OR 97208-3395
Other names (DBA / former)
- Doing business as
- Providence Portland Medical Center - Child & Adolescent Psychiatric
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.