institution
Providence Porland Medical Center
Nursing Facility/Intermediate Care Facility in Portland, Oregon
NPI 1770776387

Providence Porland Medical Center is a Nursing Facility/Intermediate Care Facility based in Molalla, OR. Providence Porland Medical Center practices in Portland, OR. The NPI Number for Providence Porland Medical Center is 1770776387 and holds a License No. 09000464RN (Oregon).

The current practice location address for Providence Porland Medical Center is 4805 Ne Glisan St, Portland, OR and can be reached out via phone at 503-215-1111. You can also correspond with Providence Porland Medical Center through the mailing address at 312 ENGLE AVE, MOLALLA, OR - 97038-9138 (mailing address contact number: 150-335-1019).

Location: 4805 Ne Glisan St, Portland, OR, 97038-9138
institution
Provider Profile Details
NPI Number
1770776387
Provider Name
Providence Porland Medical Center
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St, Portland, OR, 97038-9138
Phone Number
503-215-1111
Fax Number
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-1111
Fax Number
person
Provider Business Mailing Address Details
Address
312 Engle Ave
City
State
Zip
97038-9138
Phone Number
150-335-1019
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
License No.
09000464RN (Oregon)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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