Portland Adventist Medical Center

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

14 1127 Issued in OR

Legal business name

PORTLAND ADVENTIST MEDICAL CENTER

Practice address

5835 NE 122ND Ave
Suite 135
Portland, OR 97230-1057

Phone

(503) 251-6192

Fax

(503) 261-6076

NPI assigned

Nov 18, 2005

Organization subpart

Yes

Parent organization

PORTLAND ADVENTIST MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Joyce L Newmyer

Title

Ceo

Phone

(503) 257-2500

Specialties & licenses 1

Addresses

Other names 1

• ADVENTIST HEALTH HOSPICE Doing business as

Part of

Portland Adventist Medical

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.

• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  NPPES parent name

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1891777439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16800",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920800",
            "telephone_number": "503-257-2500",
            "fax_number": "503-261-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 NE 122ND AVE",
            "address_2": "SUITE 135",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301057",
            "telephone_number": "503-251-6192",
            "fax_number": "503-261-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND ADVENTIST MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTLAND ADVENTIST MEDICAL CENTER",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "NEWMYER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-257-2500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "14 1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTIST HEALTH HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Adventist Medical Center
• Portland Alternative Medicine, LLC
• Portland Anesthesia Specialists LLC
• Portland Anxiety Clinic
• Portland Area Recovery Services
• Portland Audiology, Inc

• Community Based Hospice Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.