Organization
PROVIDENCE PORTLAND MEDICAL CENTER
Active
Parent organization
PROVIDENCE PORTLAND MEDICAL CENTER
Other names
PROVIDENCE ARTHRITIS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE PORTLAND MEDICAL CENTER
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE 155, PORTLAND, OR 97213-2991
(503) 215-6819
Mailing address
PO BOX 3395, PORTLAND, OR 97208-3395
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210638
—
OR
Enumeration date
11/27/2006
Last updated
05/07/2025
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