# 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:** 1316502719
- **Legal business name:** PORTLAND ADVENTIST MEDICAL CENTER
- **Authorized official:** DONALD E WELCH (CFO)
- **Authorized official phone:** (503) 261-4405

## Contact information

- **Practice address:** 10123 SE MARKET ST, PORTLAND, OR 97216-2532
- **Practice address phone:** (503) 257-2500
- **Mailing address:** 10123 SE MARKET ST, PORTLAND, OR 97216-2532
- **Mailing address phone:** (503) 261-6085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2019
- **Last updated:** 01/06/2022