NPIMap

Organization Active NPI

Providence Milwaukie Hospital

  • Clinic/Center
  • Milwaukie, OR
National Provider Identifier
1689795478
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROVIDENCE MILWAUKIE HOSPITAL
Practice address
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone
(503) 513-8336
NPI assigned
Apr 2, 2007
Organization subpart
Yes
Parent organization
PROVIDENCE MILWAUKIE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Olson
Title
Chief Finance Officer
Phone
(503) 513-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10150 SE 32ND Ave
Milwaukie, OR 97222-6516

Mailing address

PO Box 3349
Portland, OR 97208-3349

Other identifiers 1

IdentifierTypeStateIssuer
023300MedicaidOR

Other names 1

  • PROVIDENCE HOSPITALISTS SOUTHEAST Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Milwaukie Hosp4 organizations share this tax ID, including this one
Part of
Providence Milwaukie Hosp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1689795478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3349",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 SE 32ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226516",
            "telephone_number": "503-513-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE MILWAUKIE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE MILWAUKIE HOSPITAL",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "503-513-8308"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023300",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE HOSPITALISTS SOUTHEAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.