PROVIDENCE PORLAND MEDICAL CENTER is a nursing facility intermediate care facility in Portland, OR. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. PROVIDENCE PORLAND MEDICAL CENTER NPI is 1770776387. The provider is registered as an organization entity type.
The provider Other Name Is Providence Health System.
The provider's business location address is:
4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-1111
The provider's authorized official is Terri Lynn Eells .
The authorized official title is Rn/nurse Practitioner Student and has the following contact phone number 15032156150.
The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.