OrganizationActive
Providence Portland Medical Center
NPI 1134355985 · Clinic/Center · Portland, OR
Providence Portland Medical Center is a Clinic/Center organization in Portland, OR (NPI 1134355985).
Provider details
- NPI number
- 1134355985
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Providence Portland Medical Center
- Organization subpart
- Yes
- Authorized official
- William Olson, Chief Financial Officer(503) 215-7384
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4805 Ne Glisan St
1st Floor
Portland, OR 97213-2933
Phone: (503) 215-6503
Street-level locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Other names (DBA / former)
- Doing business as
- Providence Integrative Medicine East
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2009-06-08
Frequently asked questions
- What is Providence Portland Medical Center's NPI number?
- Providence Portland Medical Center's National Provider Identifier (NPI) is 1134355985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Portland Medical Center?
- Providence Portland Medical Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Portland Medical Center located?
- Providence Portland Medical Center's practice location on file with NPPES is 4805 Ne Glisan St, Portland, OR 97213-2933.
- What is Providence Portland Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Providence Portland Medical Center is (503) 215-6503.
- Who is the authorized official for Providence Portland Medical Center?
- The authorized official listed on Providence Portland Medical Center's NPPES record is William Olson, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Portland Medical Center's NPI active?
- Yes — Providence Portland Medical Center's NPI (1134355985) is active in the NPPES registry as of the last update on 2009-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.