institution
Providence Portland Medical Center
Clinic/Center in Portland, Oregon
NPI 1134240021

Providence Portland Medical Center is a Clinic/Center based in Portland, OR. Providence Portland Medical Center practices in Portland, OR. The NPI Number for Providence Portland Medical Center is 1134240021 and holds a License No. (Oregon).

The current practice location address for Providence Portland Medical Center is 4805 Ne Glisan St, Portland, OR and can be reached out via phone at 503-215-2392.

Location: 4805 Ne Glisan St, Portland, OR, 97208-3178
institution
Provider Profile Details
NPI Number
1134240021
Provider Name
Providence Portland Medical Center
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St, Portland, OR, 97208-3178
Phone Number
503-215-2392
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
286612 05 OR
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-2392
Fax Number
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-2392
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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