# PORTLAND ADVENTIST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PORTLAND ADVENTIST MEDICAL CENTER
- **Other names:** ADVENTIST HEALTH PORTLAND
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215910302
- **Legal business name:** PORTLAND ADVENTIST MEDICAL CENTER
- **Authorized official:** KYLE KING (CEO)
- **Authorized official phone:** (503) 251-6842

## Contact information

- **Practice address:** 10000 SE MAIN ST, SUITE 116, PORTLAND, OR 97216
- **Practice address phone:** (503) 251-6354
- **Practice address fax:** (503) 251-6286
- **Mailing address:** PO BOX 888918, LOS ANGELES, CA 90088-8918
- **Mailing address phone:** (503) 261-6085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 14 1127 | OR | — |
| 207Q00000X | Family Medicine Physician | 14 1127 | OR | Yes |
| 207R00000X | Internal Medicine Physician | 14 1127 | OR | — |
| 207RC0000X | Cardiovascular Disease Physician | 14 1127 | OR | — |
| 207RG0100X | Gastroenterology Physician | 14 1127 | OR | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 14 1127 | OR | — |
| 207RP1001X | Pulmonary Disease Physician | 14 1127 | OR | — |
| 207RR0500X | Rheumatology Physician | 14 1127 | OR | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | 14 1127 | OR | — |
| 2084P0800X | Psychiatry Physician | 14 1127 | OR | — |
| 208M00000X | Hospitalist Physician | 14 1127 | OR | — |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 01/06/2022