Providence Health & Services - Oregon

NPI #1013217975 in Portland, Oregon

Provider Information

NPI Number: 1013217975
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 26, 2010
Last Updated: Jun 20, 2025

Practice Location

Address: 4805 NE GLISAN ST
Address 2: STE 6N60
City: Portland
State: Oregon
ZIP Code: 97213-2933
Phone: (503) 215-2075

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Obstetrics & Gynecology	207V00000X	Primary

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