Providence Health & Services Oregon
Durable Medical Equipment & Medical Supplies
6410 Ne Halsey St, Suite 500, Portland
Oregon, 97213-4742
503-215-4663 503-215-4655
Providence Health & Services Oregon is a Durable Medical Equipment & Medical Supplies in Portland, Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 6410 Ne Halsey St, Suite 500, Portland and it's customer support contact number is 503-215-4663. The authorized person of Providence Health & Services Oregon is Donald W Anderson Jr. who is Assistant Secretary Of Enrollments of this DME and his contact number is 425-358-9786. Providence Health & Services Oregon accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Providence Health & Services Oregon is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Providence Health & Services Oregon type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Providence Health & Services Oregon |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 6410 Ne Halsey St, Suite 500, Portland,
Oregon, 97213-4742 |
| Phone: | 503-215-4663 |
| Fax: | 503-215-4655 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Donald W Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1831289826 |
| Parent Organization: | Providence Health & Services - Oregon |
| NPI Enumeration Date: | 13 Oct, 2006 |
| NPI Last Update On: | 15 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services Oregon are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Oxygen Equipment & Supplies | NPC-0002697 | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 108837 | Medicaid | Oregon | |
Medicare Enrollment:
Providence Health & Services Oregon is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305755000 | O20100930013895 | Providence Health & Services Oregon | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH RESPIRATORY THERAPIST |
Products Available:
Providence Health & Services Oregon has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Gastric Suction Pumps | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Mechanical In-exsufflation Devices |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Speech Generating Devices |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Ultraviolet Light Devices | • Ventilators, Accessories & Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5936a,
Portland, Oregon |
| Zip: | 97228-5936 |
| Phone Number: | 503-215-4663 |
| Fax Number: | 503-215-4655 |
Patients can reach Providence Health & Services Oregon at
6410 Ne Halsey St, Suite 500, Portland, Oregon or can
call on customer care at 503-215-4663.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.