OrganizationActive
Providence Health & Services Oregon
NPI 1982790002 · Prosthetic/Orthotic Supplier · Portland, OR
Provider details
- NPI number
- 1982790002
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-5851
Fax: (503) 216-4686
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5936a
Portland, OR 98228-5936
Other names (DBA / former)
- Doing business as
- Providence Transitions-An Appearance Center
- Doing business as
- Providence Transitions-An Appearance Center
Registry dates
- Enumerated
- 2006-10-05
- 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.