Active NPI
St. Vincent's Hospitol
- Critical Access Hospital
- Portland, OR
National Provider Identifier
1053636126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 090006973RN
- Legal business name
- ST. VINCENT'S HOSPITOL
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 216-1234
- NPI assigned
- Apr 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Bryant, MP
- Title
- Nurse Manager
- Phone
- (503) 216-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 090006973RN | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
14849 SW 116TH PL
Tigard, OR 97224-2767
Phone (503) 352-4640
Other names 1
- Providence
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1053636126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14849 SW 116TH PL",
"city": "TIGARD",
"state": "OR",
"postal_code": "972242767",
"telephone_number": "503-352-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT'S HOSPITOL",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "NURSE MANAGER",
"authorized_official_telephone_number": "503-216-1234",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MP"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "OR",
"license": "090006973RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.