Providence Health & Services - Oregon, NPI 1104113380
Psychiatric Hospital Unit in Portland, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104113380
NPI Entity Type Organization
Provider Name Providence Health & Services - Oregon
Doing Business As
Subpart of Organization Providence Health & Services - Washington
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4805 Ne Glisan St, Portland, OR, US
Provider Mailing Address Po Box 3395, Portland, OR, US, 972083395
Is Sole Proprietor? No
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Organization Official

Official Name MS. Kathleen Dowling
Official Position COO
Phone 503-215-4323

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. 023981
License State OR
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

Providence Portland Medical Center - Child & Adolescent Psychiatric
Doing Business As

Business Address

Providence Health & Services - Oregon
4805 Ne Glisan St

Portland, OR, US

Phone: 503-215-4323
Fax: 503-215-0297

Mailing Address

Providence Health & Services - Oregon
Po Box 3395
Portland, OR, US
ZIP 972083395
Phone: 503-215-4323
Fax: 503-215-0297

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282N00000X

Hospitals

General Acute Care Hospital

023981 OR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
023981 OR MEDICAID 05
500400190 OR MEDICAID 05

Other Providers in OR, US

NPI Name Taxonomy Address

1558919068

MS, RD, LD Lucy Ramquist

Individual

Registered Dietitian

2891 Se Division St Apt 2

Portland, OR

1831388461

DR. PSY.D Thaen Chiam Saelee

Individual

Clinical Psychologist

3806 Tillicum Ln

Roseburg, OR

1548823552

MR. MD Nathaniel Justin Kelly

Individual

Student in an Organized Health Care Education/Training Program

500 Sw Ramsey

Grants Pass, OR

1366735995

MR. RPH Emmanuel Chukwuemeka Amadi

Individual

Pharmacist

7440 N Denver Ave

Portland, OR

1235794629

Chelsea Walker

Individual

Behavioral Analyst

2800 Sw Peaceful Ln

Portland, OR

1942611603

Torrey A Thille

Individual

Clinical Social Worker

2306 Ne Glisan St Ste 200

Portland, OR

1528691110

Northern Pediatrics Llc

Organization

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1447663810

MD Anh Linh Hoang

Individual

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1568978971

BCBA, LBA Steven Hardy

Individual

Behavioral Analyst

1675 Sw Marlow Ave Ste 200

Portland, OR

1598822892

DR. PHD Mark R Mcminn

Individual

Clinical Psychologist

18703 Ne Williamson Rd

Newberg, OR

1740905017

Shelby Ramer

Individual

Doula

435 Nw 17th St

Mcminnville, OR

1295450567

Karyssa Ann Endecott

Individual

Case Manager/Care Coordinator

435 Ne Evans St Ste A

Mcminnville, OR

1699246520

FNP-BC Yvonne Renee Martenia

Individual

Family Nurse Practitioner

1819 Nebraska Ave

Grants Pass, OR

1942925318

DR. DMD Rachel Lynn Mendazona

Individual

Dentist

199 Sw Shevlin Hixon Dr Ste A

Bend, OR

1225753692

Nicolle Asencio

Individual

Student in an Organized Health Care Education/Training Program

19500 Se Stark St

Portland, OR

1275258642

Talia Elizabeth Miller

Individual

Mental Health Counselor

8915 Sw Center St

Portland, OR

1033616602

MD Sherilyn M Destefano

Individual

Family Medicine Physician

4411 Sw Vermont St

Portland, OR

1578288932

The Counseling Place Llc

Organization

Counselor

745 Cleveland St

Lebanon, OR

1942925300

PA-C Sara J Wright

Individual

Medical Physician Assistant

7033 Ne Sandy Blvd

Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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