Providence Seaside Hospital, Providence Seaside Clinic – Rural Health Clinic/Center, NPI 1649344458
Rural Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Providence Seaside Hospital, Providence Seaside Clinic
300 Block Southwest Lincoln, Southwest Lincoln Street, University District, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97258, United States
PORTLAND, OR 972083397
Phone: (503) 215-4323
Fax: (503) 215-0297
Type: Mailing
PO BOX 31001-4199
PASADENA, CA 911104199
Phone: (503) 215-4323
Fax: (503) 215-0297
Type: Mailing
South Wahanna Road, Seaside, Clatsop County, Oregon, 97138, United States
SEASIDE, OR 97138
Phone: (503) 717-7000
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040102000768 | O | Clinic/Group Practice | OR | TBD |
| O20050815001030 | O | Rural Health Clinic | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 97208)
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