Providence Health & Services - Oregon

NPI #1134351877 in Portland, Oregon

Provider Information

NPI Number: 1134351877
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Internal Medicine
Enumeration Date: Aug 13, 2009
Last Updated: Jul 4, 2025

Practice Location

Address: 9427 SW BARNES RD
Address 2: SUITE 595
City: Portland
State: Oregon
ZIP Code: 97225-6640
Phone: (503) 216-2346

Authorized Official

Name: DONALD W ANDERSON JR.
Title: ASST SEC ENROLL
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Internal Medicine	207R00000X	Primary

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