OrganizationActive
Providence Health & Services - Oregon
NPI 1285717728 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Portland, OR
Provider details
- NPI number
- 1285717728
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Dir Reimb Reg Strat/Asst Sec Enroll(425) 525-5392
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-4323
Fax: (503) 215-0297
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3396
Portland, OR 97208-3396
Other names (DBA / former)
- Doing business as
- Providence St. Vincent Medical Center
- Doing business as
- Providence St. Vincent Medical Center
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.