FRS Facility Detail Report


PROVIDENCE MEDICAL CENTER

EPA Registry Id: 110001653648
4805 NE GLISAN ST
PORTLAND, OR 97213


The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System System Facility Name Information System Id/Report Link Environmental Interest Type Data Source Last Updated Date Supplemental Environmental Interests:
OREGON - DEPARTMENT OF ENVIRONMENTAL QUALITY PROVIDENCE HOSPITAL 3422
exit EPA
STATE MASTER OR-DEQ
OR-LUST-26-96-0314
LEAKING STORAGE TANK
OR-HWMS-6702
LQG
UST-61-BGKEH
LEAKING STORAGE TANK
HAZWASTE-6702
LQG
LUST-26-96-0314
LEAKING STORAGE TANK
OR-ACSIS-261804
AIR PROGRAM
OR-UST-AEFBA
LEAKING STORAGE TANK
UST-61-BGKEG
LEAKING STORAGE TANK
ACSIS-261804-
AIR PROGRAM
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
PROVIDENCE FACILITIES SERVICES ORQ000016048 UNSPECIFIED UNIVERSE (N) RCRAINFO

COMPLIANCE AND EMISSIONS DATA REPORTING INTERFACE
PROVIDENCE PORTLAND MEDICAL CENTER CEDRI99261 COMPLIANCE AND EMISSIONS REPORTING CEDRI 03/04/2016
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM
PROVIDENCE PORTLAND MEDICAL CENTER ORD099142093 VSQG (Y) RCRAINFO

BIENNIAL REPORTERS
PROVIDENCE PORTLAND MEDICAL CENTER ORD099142093 HAZARDOUS WASTE BIENNIAL REPORTER RCRAINFO 12/31/2021
OREGON - DEPARTMENT OF ENVIRONMENTAL QUALITY PROVIDENCE 99176
exit EPA
STATE MASTER OR-DEQ
LUST-26-06-0772
LEAKING STORAGE TANK
EMISSION INVENTORY SYSTEM (EIS)
PROVIDENCE MEDICAL CENTER 11883611 AIR MINOR EIS 06/05/2024
OREGON - DEPARTMENT OF ENVIRONMENTAL QUALITY PROVIDENCE FACILITIES SERVICES 34408
exit EPA
STATE MASTER OR-DEQ
HWMS-5952-
CESQG
HAZWASTE-5952
CESQG

Additional EPA Reports:  

MyEnvironment  Enforcement and Compliance  Facility Coordinates Viewer  Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source SIC Code Description Primary
OR-DEQ
8082
HOME HEALTH CARE SERVICES

OR-DEQ
8062
GENERAL MEDICAL AND SURGICAL HOSPITALS

OR-DEQ
8011
OFFICES AND CLINICS OF DOCTORS OF MEDICINE

OR-DEQ
6512
OPERATORS OF NONRESIDENTIAL BUILDINGS

OR-DEQ
8071
MEDICAL LABORATORIES

Facility Codes and Flags

EPA Region: 10
Duns Number: 000000000, 052373271
Congressional District Number: 03
Legislative District Number:
HUC Code/Watershed: 17090012 / LOWER WILLAMETTE
US Mexico Border Indicator:
Federal Facility: NO
Tribal Land: NO

Alternative Names

Alternative Name Source of Data
PROVIDENCE PORTLAND MEDICAL CENTER NORTH PAVILION OR-DEQ
PROVIDENCE OR-DEQ
PROVIDENCE PORTLAND MEDICAL CENTER BR
PROVIDENCE FACILITIES SERVICES RCRAINFO
PROVIDENCE HOSPITAL AIRS/AFS

Organizations

Affiliation Type Name DUNS Number Information System Mailing Address
OWNER
PROVIDENCE MEDICAL CENTER
OR-DEQ


FACILITY SITE CONTACT
PROVIDENCE MEDICAL CENTER
OR-DEQ
View
PERMITEE
PROVIDENCE MEDICAL CENTER
OR-DEQ


OPERATOR
PROVIDENCE MEDICAL CENTER
OR-DEQ
View
OWNER
PROVINCE HEALTH & SERVICES - OREGON
RCRAINFO
View
OWNER
PROVINCE HEALTH & SERVICES - OREGON
RCRAINFO
View
REGULATORY CONTACT
PROVIDENCE PORTLAND MEDICAL CENTER
OR-DEQ
View
PERMITEE
PROVIDENCE MEDICAL CENTER
OR-DEQ


FACILITY SITE CONTACT
PROVIDENCE PROPERTY MANAGEMENT
OR-DEQ
View
OPERATOR
PROVIDENCE PORTLAND MEDICAL CENTER
RCRAINFO
View
RESPONSIBLE PARTY
PROVIDENCE MEDICAL CENTER
OR-DEQ


REGULATORY CONTACT
PROVIDENCE PROPERTY MANAGEMENT
OR-DEQ
View
MAILING ADDRESS
PROVIDENCE PROPERTY MANAGEMENT
OR-DEQ
View
MAILING ADDRESS
PROVIDENCE MEDFORD MEDICAL CENTER
OR-DEQ
View
FACILITY SITE CONTACT
PROVIDENCE PORTLAND MEDICAL CENTER
OR-DEQ
View
OWNER
PROVIDENCE MEDICAL CENTER
OR-DEQ


OWNER
PROVIDENCE HEALTH SYSTEM IN OREGON
OR-DEQ
View
OWNER
SISTERS OF PROVIDENCE
OR-DEQ
View
REGULATORY CONTACT
PROVIDENCE PORTLAND MEDICAL CENTER
OR-DEQ
View
RESPONSIBLE PARTY
PROVIDENCE MEDICAL CENTER
OR-DEQ


OWNER
SISTERS OF PROVIDENCE IN OREGON
OR-DEQ


FACILITY SITE CONTACT
MOUNT HOOD FOREST PRODUCTS
OR-DEQ
View
OPERATOR
PROVIDENCE PORTLAND MEDICAL CENTE
OR-DEQ
View
MAILING ADDRESS
PROVIDENCE PORTLAND MEDICAL CENTER
OR-DEQ
View
OWNER
PROVIDENCE HEALTH SYSTEM IN OREGON
RCRAINFO
View
OWNER
PROVIDENCE PORTLAND MEDICAL CENTER
RCRAINFO
View

National Industry Classification System Codes (NAICS)

Data Source NAICS Code Description Primary
OR-DEQ 053112

OR-DEQ 022133

OR-DEQ 711310 PROMOTERS OF PERFORMING ARTS, SPORTS, AND SIMILAR EVENTS WITH FACILITIES.
OR-DEQ 621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS.
EIS 488119 OTHER AIRPORT OPERATIONS.
OR-DEQ 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
OR-DEQ 621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS).
OR-DEQ 062161

OR-DEQ 531120 LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES).
OR-DEQ 621512 DIAGNOSTIC IMAGING CENTERS.
OR-DEQ 062211

OR-DEQ 621511 MEDICAL LABORATORIES.
RCRAINFO 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS.
OR-DEQ 621610 HOME HEALTH CARE SERVICES.
OR-DEQ 023332

OR-DEQ 071131

OR-DEQ 621491 HMO MEDICAL CENTERS.
OR-DEQ 621493 FREESTANDING AMBULATORY SURGICAL AND EMERGENCY CENTERS.

Facility Mailing Addresses

Affiliation Type Delivery Point City Name State Postal Code Information System
MAILING ADDRESS 4805 NE GLISAN STREET PORTLAND OR 97213 OR-DEQ
FACILITY SITE CONTACT 4805 NE GLISAN STREET - SAFETY PORTLAND OR 97213 OR-DEQ
FACILITY MAILING ADDRESS 4805 NE GLISAN PORTLAND OR 97213 RCRAINFO
FACILITY MAILING ADDRESS 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 RCRAINFO
OWNER 1235 NE 47TH AVE., SUITE 299 PORTLAND OR 97213 RCRAINFO
OWNER 4805 NE GLISAN PORTLAND OR 97213 OR-DEQ
RESPONSIBLE PARTY 4805 NE GLISAN PORTLAND OR 97213 OR-DEQ
REGULATORY CONTACT 4805 NE GLISAN STREET PORTLAND OR 97213 OR-DEQ
MAILING ADDRESS 1235 NE 47TH AVE, STE. 299 PORTLAND OR 97213 OR-DEQ
OWNER 4805 NE GLISAN STREET PORTLAND OR 97213 RCRAINFO
REGULATORY CONTACT 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 RCRAINFO
MAILING ADDRESS 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
REGULATORY CONTACT 4805 NE GLISAN STREET PORTLAND OR 97213 RCRAINFO
PERMITTEE 4805 NE GLISAN PORTLAND OR 97213 OR-DEQ
FACILITY SITE CONTACT 4805 NE GLISAN STREET PORTLAND OR 97213 OR-DEQ
FACILITY SITE CONTACT 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
MAILING ADDRESS 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
OPERATOR 4805 NE GLISAN STREET PORTLAND OR 97213 OR-DEQ
OPERATOR 4805 NE GLISAN PORTLAND OR 97213 OR-DEQ
FACILITY SITE CONTACT 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
OPERATOR 4805 NE GLISAN ST PORTLAND OR 97213 RCRAINFO
MAILING ADDRESS 4805 NE GLISAN AVENUE PORTLAND OR 97213 OR-DEQ
REGULATORY CONTACT 4805 NE GLISAN STREET - SAFETY PORTLAND OR 97213 OR-DEQ
OWNER PO BOX 11038 SEATTLE WA 98111-9038 OR-DEQ
REGULATORY CONTACT 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
OWNER 1235 NE 47TH AVE, STE. 299 PORTLAND OR 97213 OR-DEQ
REGULATORY CONTACT 4706 NE GLISAN ST STE 101 PORTLAND OR 97213 OR-DEQ
OWNER 1235 NE 47TH AVE, STE. 299 PORTLAND OR 97213 RCRAINFO
FACILITY SITE CONTACT 4805 NE GLISAN AVENUE PORTLAND OR 97213 OR-DEQ
FACILITY MAILING ADDRESS 4805 NE GLISAN AVENUE PORTLAND OR 97213 OR-DEQ

Contacts

Affiliation Type Full Name Office Phone Information System Mailing Address
REGULATORY CONTACT
ROBERT RIEKER
(503) 216-4950
OR-DEQ
View
MAILING ADDRESS
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
REGULATORY CONTACT
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
MAILING ADDRESS
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
OWNER
PHYSICAL PLANT MANAGER


OR-DEQ
View
REGULATORY CONTACT
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
PERMITTEE
PHYSICAL PLANT MANAGER


OR-DEQ
View
REGULATORY CONTACT
DEANN WILSON
(503) 215-6269
OR-DEQ
View
REGULATORY CONTACT
ROBERT J "BOB" CORBLY
503-215-6669
RCRAINFO
View
REGULATORY CONTACT
KAREN RODRIGUEZ
503-215-6269
RCRAINFO
View
MAILING ADDRESS
DEANN WILSON
(503) 215-6269
OR-DEQ
View
RESPONSIBLE PARTY
MANAGER PHYSICAL PLANT


OR-DEQ
View
OPERATOR
MARVIN O QUINN


OR-DEQ


FACILITY SITE CONTACT
DEANN WILSON
(503) 215-6269
OR-DEQ
View
FACILITY SITE CONTACT
ROBERT RIEKER
(503)-216-4950
OR-DEQ
View
FACILITY SITE CONTACT
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
FACILITY SITE CONTACT
ROBERT J "BOB" CORBLY
503-215-6669
OR-DEQ
View
OPERATOR
DAVID UNDERRINER
503-215-6215
OR-DEQ
View
FACILITY SITE CONTACT
STEPHEN A WRIGHT
(503) 230-6197
OR-DEQ
View

Query executed on: OCT-15-2025