PROVIDENCE HEALTH & SERVICES - OREGON


Address: 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784
Phone: 5032157901

PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1083929772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083929772
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name PROVIDENCE CANCER SURVIVOR CLINIC - WEST
Practice Address 9135 Sw Barnes Rd
Suite 261
Portland
OR 97225-6784
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5032157901
Practice Fax Number 5032157904
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Enumeration Date 2010-08-18
Last Update Date 2014-12-30
Authorized Official Name KEENAN B FREEMAN (CFO)
Authorized Official Telephone 5038936524
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 500626032 05

Other Provider/Organization Names

Other Name Type Code
PROVIDENCE CANCER SURVIVOR CLINIC - WEST Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922481456 Providence Health & Services - Oregon Psychiatry & Neurology 10830 Highway 62, Eagle Point, OR 97524-9516 2015-07-01
1023440435 Providence Health & Services - Oregon General Acute Care Hospital 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 2013-08-08
1568793313 Providence Health & Services - Oregon Clinic/Center 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 2010-01-19
1508015348 Providence Health & Services - Oregon Clinic/Center 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 2008-09-17
1114085545 Providence Health & Services - Oregon Internal Medicine 1314 E Sherman St, Newberg, OR 97132-1842 2006-12-05
1629146121 Providence Health & Services - Oregon Otolaryngology 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 2006-12-01
1992882500 Providence Health & Services - Oregon Clinic/Center 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 2006-11-01
1013018175 Providence Health & Services - Oregon Clinic/Center 510 Bridge St, Vernonia, OR 97064-1218 2006-09-25
1447799523 Providence Health & Services - Oregon Clinic/Center 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 2017-02-22
1063963106 Providence Health & Services - Oregon Clinic/Center 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 2016-10-24

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Providence Health & Services - Oregon 1801 Lind Avenue, Sw, Renton, WA 98057-9016
Oregon Corporations, Companies and Business Names PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave Sw #9016, Renton, WA 98057
System for Award Management (SAM) Entities PROVIDENCE HEALTH & SERVICES - OREGON 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545
Iowa Business Entities PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave. Sw, Renton, WA 98057
Washington State Corporations PROVIDENCE HEALTH & SERVICES - OREGON 1801 Lind Ave Sw # 9016, Renton, WA 98057

Office Location

Street Address 9135 SW BARNES RD
SUITE 261
City PORTLAND
State OR
Zip Code 97225-6784

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021753 Stacy K Lewis Internal Medicine 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 2005-05-27
1770068017 Jason Joy Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2018-10-02
1578041661 Jaime Musgrave Physical Therapist 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 2018-08-01
1295245629 Kate Alison O'connor Culligan Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2017-10-12
1952765885 Brian Frost Speech-Language Pathologist 9135 Sw Barnes Rd, Suite 362, Portland, OR 97225-6646 2016-04-06
1649636648 Laurel Beth Tor Nurse Practitioner 9135 Sw Barnes Rd, Portland, OR 97225-6646 2016-01-06
1659736940 Audrey Whitten Physical Therapist 9135 Sw Barnes Rd, Suite 361, Portland, OR 97225-6646 2015-12-31
1265824627 Kaplan & Sautter LLC Otolaryngology 9135 Sw Barnes Rd, Suite 963, Portland, OR 97225-6646 2015-02-23
1811394380 James Connelly Pharmacist 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 2014-11-29
1992107544 Kelli R Harrington-bollenbaugh Speech-Language Pathologist 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6646 2014-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801413240 Gfm LLC Clinic/Center 1235 Se Division St Ste 114, Portland, OR 97202-1042 2020-07-01
1134750037 Legacy Good Samaritan Hospital and Medical Center Clinic/Center 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 2020-01-29
1679030290 Yoana Kanev Clinic/Center 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 2019-03-01
1841760584 Orthopedic Needle LLC Clinic/Center 328 Ne Failing St Ste C, Portland, OR 97212-1157 2018-11-26
1073081881 Sober Living Oregon Recovery Center Clinic/Center 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2018-11-09
1366933830 Dr Frances V Verzosa Md PC Clinic/Center 12770 Se Stark St Bldg C, Portland, OR 97233-1539 2018-05-21
1023520814 Concordia Wellness, LLC Clinic/Center 3014 Ne Killingsworth St, Portland, OR 97211-6814 2017-11-01
1114443124 Zephyr Acupuncture and Bodywork, LLC Clinic/Center 4313 Ne Tillamook St, Portland, OR 97213-1315 2017-08-22
1164952495 Earth Source Medicine Clinic/Center 2207 Ne Broadway St Ste 200, Portland, OR 97232-1791 2017-06-19
1902353873 Siesta Acupuncture LLC Clinic/Center 2818 Se 70th Ave, Portland, OR 97206-1117 2016-09-08
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97225

Improve Information

Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - OREGON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches