Providence Health & Services Oregon

NPI #1033804091 in Portland, Oregon

Provider Information

NPI Number: 1033804091
Entity Type: Organization
Organization Name: Providence Health & Services Oregon
Primary Specialty: Psychiatry & Neurology - Addiction Psychiatry
Enumeration Date: Apr 6, 2023
Last Updated: Jun 20, 2025

Practice Location

Address: 4400 NE HALSEY ST, BLDG 2
Address 2: STE 599
City: Portland
State: Oregon
ZIP Code: 97213-9721
Phone: (503) 215-2110

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry	2084P0802X	Primary

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