OrganizationActive
Providence Health & Services Oregon
NPI 1639524697 · Substance Abuse Rehabilitation Facility · Portland, OR
Provider details
- NPI number
- 1639524697
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Billie Mounts, Chief Reimbursement Officer(425) 687-3910
- License
- 700006 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5228 Ne Hoyt St
Building B
Portland, OR 97213-3055
Phone: (503) 574-9200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3395
Portland, OR 97208-3395
Other names (DBA / former)
- Doing business as
- Providence Portland Medical Center
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2016-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.