PROVIDENCE HEALTH SYSTEM OREGON is a multi-specialty clinic center in Portland, OR. PROVIDENCE HEALTH SYSTEM OREGON NPI is 1023098118. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Elder Place Portland.
The provider's business location address is:
4540 NE GLISAN ST
PORTLAND, OR
ZIP 97213-333
Phone: (503) 215-3738
Fax: (503) 215-6942
The provider's authorized official is Donald M Keister .
The authorized official title is Executive Director and has the following contact phone number (503) 215-3612.
The enumeration date for this NPI number is 1/17/2006 and was last updated on 8/22/2020.