Providence – Critical Access Hospital, NPI 1053636126

Providence is a healthcare provider. based in Portland, Oregon. specializing in Critical Access Hospital. The organization holds a License No. 090006973RN (OR). The NPI Number for Providence is 1053636126

Main info

Organization
Name
Providence
NPI
1053636126
Phone
(503) 216-1234
Address
9205 SW BARNES RD
Authorized Official
MS. LINDA BRYANT NURSE MANAGER MP
Enumeration Date
1 April 2010
Last Update Date
1 April 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Providence

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256603

    Phone: (503) 216-1234

    Type: Location

  • 14849, Southwest 116th Place, Bull Mountain, Tigard, Washington County, Oregon, 97224, United States

    TIGARD, OR 972242767

    Phone: (503) 352-4640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97225)

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Reviews

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Frequently asked questions

How do I look up Providence by NPI?
Use NPI 1053636126 when you need to reference Providence in forms, claims, or directories.
Is Providence's NPI currently valid?
The extract we use shows Providence as active.
Can you summarize Providence's specialty in plain language?
Clinically, the directory lists Providence with Critical Access Hospital. Clinical services aligned with this taxonomy classification.
Where is Providence's primary listing?
We display Portland, Oregon because that is what the record indicates for Providence.
How can I contact Providence?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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