# PORTLAND ADVENTIST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PORTLAND ADVENTIST MEDICAL CENTER
- **Other names:** Adventist Health Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437925310
- **Legal business name:** PORTLAND ADVENTIST MEDICAL CENTER
- **Authorized official:** JASON PANASUK (FINANCE OFFICER)
- **Authorized official phone:** (503) 261-4405

## Contact information

- **Practice address:** 10123 SE MARKET ST, PORTLAND, OR 97216-2532
- **Practice address phone:** (503) 251-6136
- **Practice address fax:** (503) 251-6293
- **Mailing address:** PO BOX 888928, LOS ANGELES, CA 90088-8928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 09/23/2025