CCN: 380061 NPI: 1003991845 Organization

PROVIDENCE PORTLAND MEDICAL CENTER

4805 NE GLISAN ST
PORTLAND, OR 972132933

Contact Information

Phone 5034513000
Fax 5032150297
Enumeration Date 2006-10-26
Last Updated 2025-05-14

Taxonomies

Code: 207L00000X
Code: 207P00000X
Code: 207R00000X
Code: 207U00000X
Code: 207V00000X
Code: 207ZP0102X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 07

caseMixIndex 1.5383

operatingCostToChargeRatio 0.42

medicaidRatio 0.2697

uncompensatedCareAmount 1251.68

internsToBedsRatio 0.0729

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.42

medicaidRatio 0.2697

uncompensatedCareAmount 1251.68

internsToBedsRatio 0.0729

vbpAdjustment 1.0005156286

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.42

medicaidRatio 0.2697

uncompensatedCareAmount 989.65

internsToBedsRatio 0.0729

vbpAdjustment 1.0055067057

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.441

medicaidRatio 0.282

uncompensatedCareAmount 989.65

internsToBedsRatio 0.0764

vbpAdjustment 1.0055067057

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.441

medicaidRatio 0.282

uncompensatedCareAmount 989.65

internsToBedsRatio 0.0764

vbpAdjustment 1.0055067057

hhrAdjustment 0.9991

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.441

medicaidRatio 0.282

uncompensatedCareAmount 1063.11

internsToBedsRatio 0.0764

vbpAdjustment 1.0072853114

hhrAdjustment 0.9975

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.404

medicaidRatio 0.2728

uncompensatedCareAmount 1063.11

internsToBedsRatio 0.0777

vbpAdjustment 1.0072853114

hhrAdjustment 0.9975

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.404

medicaidRatio 0.2728

uncompensatedCareAmount 1063.11

internsToBedsRatio 0.0777

vbpAdjustment 1.0072853114

hhrAdjustment 0.9975

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.396

medicaidRatio 0.2952

uncompensatedCareAmount 1063.11

internsToBedsRatio 0.0783

vbpAdjustment 1.0072853114

hhrAdjustment 0.9975

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.396

medicaidRatio 0.2952

uncompensatedCareAmount 1040.74

internsToBedsRatio 0.0783

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.396

medicaidRatio 0.2952

uncompensatedCareAmount 1040.74

internsToBedsRatio 0.0783

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.396

medicaidRatio 0.2952

uncompensatedCareAmount 1040.74

internsToBedsRatio 0.0783

hhrAdjustment 0.9988

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.396

medicaidRatio 0.2952

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0783

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.405

medicaidRatio 0.2751

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0802

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.409

medicaidRatio 0.2751

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0802

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.409

medicaidRatio 0.2751

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0802

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.409

medicaidRatio 0.2751

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0802

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.395

medicaidRatio 0.2877

uncompensatedCareAmount 1008.75

internsToBedsRatio 0.0834

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.395

medicaidRatio 0.2877

uncompensatedCareAmount 1033.14

internsToBedsRatio 0.0834

vbpAdjustment 1.0095107664

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.394

medicaidRatio 0.2814

uncompensatedCareAmount 1033.14

internsToBedsRatio 0.0834

vbpAdjustment 1.0095107664

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.394

medicaidRatio 0.2814

uncompensatedCareAmount 959.15

internsToBedsRatio 0.0834

vbpAdjustment 1.0025385345

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.4

medicaidRatio 0.2792

uncompensatedCareAmount 959.15

internsToBedsRatio 0.0861

vbpAdjustment 1.0025385345

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.4

medicaidRatio 0.2792

uncompensatedCareAmount 959.15

internsToBedsRatio 0.0861

vbpAdjustment 1.0025385345

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.4

medicaidRatio 0.2792

uncompensatedCareAmount 1243.52

internsToBedsRatio 0.0861

vbpAdjustment 1.0032520266

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.4

medicaidRatio 0.2792

uncompensatedCareAmount 1243.52

internsToBedsRatio 0.0861

vbpAdjustment 1.0032520266

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.41

medicaidRatio 0.2813

uncompensatedCareAmount 1243.52

internsToBedsRatio 0.085

vbpAdjustment 1.0032520266

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.41

medicaidRatio 0.2813

uncompensatedCareAmount 1243.52

internsToBedsRatio 0.085

vbpAdjustment 1.0032520266

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.41

medicaidRatio 0.2813

uncompensatedCareAmount 977.13

internsToBedsRatio 0.085

vbpAdjustment 1.0063621197

hhrAdjustment 1.0

censusDivision 9

cbsaActualGeographicLocation 38900

providerType 00

caseMixIndex 1.5383

operatingCostToChargeRatio 0.425

medicaidRatio 0.2761

uncompensatedCareAmount 977.13

internsToBedsRatio 0.0819

vbpAdjustment 1.0063621197

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38900

providerType 07

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.261

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.284

deviceCostToChargeRatio 0.261

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.325

deviceCostToChargeRatio 0.283

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.325

deviceCostToChargeRatio 0.283

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.316

deviceCostToChargeRatio 0.324

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.316

deviceCostToChargeRatio 0.324

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.31

deviceCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.31

deviceCostToChargeRatio 0.442

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.312

deviceCostToChargeRatio 0.46

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.313

deviceCostToChargeRatio 0.46

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.313

deviceCostToChargeRatio 0.46

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.3

deviceCostToChargeRatio 0.527

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.3

deviceCostToChargeRatio 0.522

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.3

deviceCostToChargeRatio 0.522

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.303

deviceCostToChargeRatio 0.555

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.303

deviceCostToChargeRatio 0.555

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.309

deviceCostToChargeRatio 0.537

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.309

deviceCostToChargeRatio 0.537

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

cbsaActualGeographicLocation 38900

providerType 00

operatingCostToChargeRatio 0.303

deviceCostToChargeRatio 0.554

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 02302

localityCode 01

PROVIDENCE PORTLAND MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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