PROVIDENCE HEALTH & SERVICES OREGON
PROVIDENCE HEALTH & SERVICES OREGON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003319724, based in Portland, OR. The organization lists 2 taxonomy classifications, with Clinic/Center recorded as primary.
Getting there
Here is what surrounds this office in Portland, based on OpenStreetMap data collected Sep 18, 2026. Parking is available about 627 ft away. The nearest transit stop is 614 ft away, served by Northeast Glisan & 55th. A pharmacy sits 432 ft from the entrance (Providence Professional Plaza), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.36 mi away.
Getting here and what is nearby
Transit Northeast Glisan & 52nd 74 ft ~1 min
Parking 177 ft ~1 min
Transit Northeast Glisan & 53rd 223 ft ~1 min
Pharmacy Providence Professional Plaza 432 ft ~2 min
Parking 505 ft ~2 min
Transit Northeast Glisan & 55th 614 ft ~3 min
Parking 627 ft ~3 min
Restaurant Original Dream Pizza 0.27 mi ~6 min
4620 Northeast Glisan Street, Portland 97213
Restaurant Oly's Pizza 0.28 mi ~6 min
Gas station Shell 0.29 mi ~6 min
Coffee Starbucks 0.30 mi ~7 min
Restaurant Muchas Gracias Mexican Food 0.30 mi ~7 min
5832 Northeast Glisan Street, Portland 97213
Mo-Su 06:00-22:00
Convenience J&T Market & Deli 0.32 mi ~7 min
4438 Northeast Glisan Street, Portland 97213
Coffee Starbucks 0.33 mi ~7 min
Grocery QFC 0.34 mi ~7 min
Coffee Seven Virtues 0.36 mi ~8 min
5936 Northeast Glisan Street, Portland 97213
Mo-Fr 07:00-05:00, Sa-Su 08:00-05:00
Convenience Food Mart 0.38 mi ~8 min
Gas station 76 0.38 mi ~8 min
Convenience How Convenient 0.39 mi ~8 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Mdpp Supplier - In-person Mdpp Supplier
- PAC ID
- 0648183608
- Enrollment ID
- O20180621000031
Medicare enrolment is recorded as approved under the provider type Mdpp Supplier - In-person Mdpp Supplier. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinic/Center covers
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | — | — | primary |
| 207R00000X | Internal Medicine Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003319724 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 9, 2018 |
| Last updated | Jun 20, 2025 |
| Status | Active |
| Practice address |
5211 NE GLISAN ST BLDG C Portland, OR 97213 (503) 215-6628 Fax (503) 215-6240 |
| Mailing address |
PO BOX 31001 - 4180 Pasadena, CA 91110 |
| Other names |
Providence Medical Group Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 1 | 9 | 7 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 1 | 9 | 7 | 4 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.