Providence Portland Medical Center
NPI 1316199987 · Nurse Practitioner · Portland, OR
Providence Portland Medical Center is a Nurse Practitioner organization in Portland, OR (NPI 1316199987).
Provider details
- NPI number
- 1316199987
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Prov Nurse Practitioners East
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Providence Portland Medical Center's NPI number?
- Providence Portland Medical Center's National Provider Identifier (NPI) is 1316199987, 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 Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- 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) 215-6185.
- Who is the authorized official for Providence Portland Medical Center?
- The authorized official listed on Providence Portland Medical Center's NPPES record is Donald Anderson, Assistant Secretary Enrollments. 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 (1316199987) is active in the NPPES registry as of the last update on 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.