OrganizationActive
Providence Portland Cancer Center
NPI 1790168797 · General Acute Care Hospital · Portland, OR
Provider details
- NPI number
- 1790168797
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
- License
- FE172129 (OR)
Specialties & taxonomies
Hospitals
Practice location
4805 Ne Glisan St
Suite 6n60
Portland, OR 97213-2933
Phone: (503) 215-3258
Approximate (ZIP-level) locationGet directions
Mailing address
4805 Ne Glisan St
Portland, OR 97213-2933
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2025-05-07
- Certified
- 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.