Providence Health & Services - Oregon

NPI #1245416965 in Portland, Oregon

Provider Information

NPI Number: 1245416965
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty: Internal Medicine
Enumeration Date: Jan 11, 2008
Last Updated: Jun 20, 2025

Practice Location

Address: 9427 SW BARNES RD
Address 2: STE 595
City: Portland
State: Oregon
ZIP Code: 97225-6652
Phone: (503) 296-9242

Authorized Official

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

Specialties & Taxonomy Codes

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

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