OrganizationActive
Providence Health & Services-Oregon
NPI 1558689653 · Medical Specialty Clinic/Center · Portland, OR
Provider details
- NPI number
- 1558689653
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
830 Ne 47th Ave
Attn: Finance
Portland, OR 97213-2212
Phone: (503) 215-4483
Fax: (503) 215-0660
Approximate (ZIP-level) locationGet directions
Mailing address
830 Ne 47th Ave
Portland, OR 97213-2212
Other names (DBA / former)
- Doing business as
- Providence Child Center
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.