PROV HEALTH SYS-OR SHARED SYS DIV (NPI# 1518251396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518251396 |
| Entity Type | Organization |
| Organization Name | PROV HEALTH SYS-OR SHARED SYS DIV |
| Other Organization Name | PROVIDENCE EMPLOYEE CLINIC - THE PLAZA |
| Practice Address |
5050 Ne Hoyt St Suite B48 Portland OR 97213-2944 |
| Mailing Address |
4400 Ne Halsey St Bldg II Suite 495 Portland OR 97213-1545 |
| Practice Telephone | 5032156019 |
| Practice Fax Number | 5032156381 |
| Mailing Telephone | 5038936523 |
| Mailing Fax Number | 5038936680 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR, AMB SERVICES) |
| Authorized Official Telephone | 5038936523 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Employee Clinic - The Plaza | Doing Business As Name - Organization |
| Street Address |
5050 NE HOYT ST SUITE B48 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| 1558810820 | Janina Browne | Physician Assistant | 5050 Ne Hoyt St, 454, Portland, OR 97213-2991 | 2016-09-28 |
| 1285181974 | Lena Soo Hee Wood | Advanced Practice Midwife | 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 | 2016-09-09 |
| 1780131532 | Hayley M Cusick | Physician Assistant | 5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2991 | 2016-09-08 |
| 1801249164 | Lauren Berman | Speech-Language Pathologist | 5050 Ne Hoyt St, #315, Portland, OR 97213 | 2016-07-21 |
| 1457709123 | Emily C. Nguyen, M.d., P.C. | Specialist | 5050 Ne Hoyt St, Suite 611, Portland, OR 97213-2991 | 2016-06-02 |
| 1356798086 | Bryce Beard | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1619324340 | Monica Johnson | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1184071813 | Rahwa Shumet Ghebremichael | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326579889 | Lighthouse Therapy Services LLC | Clinic/Center | 1458 Washington Ave, Portland, ME 04103-2022 | 2017-03-25 |
| 1114255247 | Providence Health & Services - Oregon | Clinic/Center | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2530 | 2009-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
| 1275641862 | Merle West Medical Center Inc Dba | Clinic/Center | 2633 Crosby Ave, Klamath Falls, OR 97603-5777 | 2006-08-25 |
| 1902913106 | Michael Laurin Adams | Clinic/Center | 4855 S.w. Western Ave, Kaiser Permanente - Occupational Health, Beaverton, OR 97005-3499 | 2006-08-24 |
| 1306230917 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2015-03-20 |
| 1386903474 | Good Samaritan Hospital Corvallis | Clinic/Center | 2555 Ne Belvue St, Corvallis, OR 97330 | 2012-05-09 |
| 1699090043 | Work Capacities LLC | Clinic/Center | 2275 Ne Doctors Dr, Suite 4, Bend, OR 97701-6324 | 2010-03-29 |
| 1306174438 | Providence Health & Services - Oregon | Clinic/Center | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2009-12-01 |
| 1457689598 | Providence Health & Services Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015 | 2009-12-01 |
| 1124159819 | Cascade Occupational Medicine Physicians Inc | Clinic/Center | 1200 Ne 48th Ave, Suite 700, Hillsboro, OR 97124-4904 | 2007-03-07 |
| 1649330986 | Silverton Hospital Occupational Health | Clinic/Center | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2006-12-09 |
| Find all providers with the same taxonomy | ||||
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| 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.