OrganizationActive
Providence Health & Service - Oregon
NPI 1386034312 · Community/Retail Pharmacy · Portland, OR
Providence Health & Service - Oregon is a Community/Retail Pharmacy organization in Portland, OR (NPI 1386034312).
Provider details
- NPI number
- 1386034312
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tavis Smith, Operations Manager(503) 215-6296
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Portland, OR 97213-2933
Phone: (503) 215-6080
Street-level locationGet directions
Mailing address
4805 Ne Glisan St
Portland, OR 97213-2933
Other names (DBA / former)
- Doing business as
- Providence Portland Medical Center Pharmacy
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2015-01-29
Frequently asked questions
- What is Providence Health & Service - Oregon's NPI number?
- Providence Health & Service - Oregon's National Provider Identifier (NPI) is 1386034312, 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 Community/Retail Pharmacy (Suppliers).
- Where is Providence Health & Service - Oregon located?
- Providence Health & Service - Oregon's practice location on file with NPPES is 4805 Ne Glisan St, Portland, OR 97213-2933.
- 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) 215-6080.
- Who is the authorized official for Providence Health & Service - Oregon?
- The authorized official listed on Providence Health & Service - Oregon's NPPES record is Tavis Smith, Operations Manager. 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 (1386034312) is active in the NPPES registry as of the last update on 2015-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.