| Providence Health & Services Oregon | |
|
5251 Ne Glisan St Bldg A, 2nd Floor Portland OR 97213-3052 | |
| (503) 215-4860 | |
| Not Available |
| Full Name | Providence Health & Services Oregon |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5251 Ne Glisan St, Portland, Oregon |
| Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services Oregon Po Box 31001 - 4180 Pasadena CA 91110-4180 Ph: () - | Providence Health & Services Oregon 5251 Ne Glisan St Bldg A, 2nd Floor Portland OR 97213-3052 Ph: (503) 215-4860 |
| NPI Number | 1093963209 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093963209 | NPI | - | NPPES |
| 500601335 | Medicaid | OR | |
| 500611962 | Medicaid | OR |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2950 Se Stark St Ste 130, Portland, OR 97214 Phone: 971-270-0167 |