NPI 1104113380

Providence Health & Services - Oregon

Organisation Psychiatric Hospital Unit Portland, OR

Practice location

Address: 4805 NE Glisan St, Portland, OR 97213-2933
Phone: (503) 215-4323
Fax: (503) 215-0297
Mailing address: PO Box 3395, Portland, OR 97208-3395

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary Enrollments
Phone: (425) 358-9786

Registered specialties (2)

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 023981 (OR)

Other Psychiatric Unit providers in Oregon →

General Acute Care Hospital

Hospitals Taxonomy 282N00000X Licence 023981 (OR)

Other General Acute Care Hospital providers in Oregon →

Registry record

NPI: 1104113380
Entity type: Organization
NPI issued: 7 Jul 2011
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.