Providence Health & Services - Oregon

NPI #1750482451 in Portland, Oregon

Provider Information

NPI Number: 1750482451
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Pediatrics
Enumeration Date: Sep 26, 2006
Last Updated: Jun 30, 2025

Practice Location

Address: 9427 SW BARNES RD
Address 2: SUITE 396
City: Portland
State: Oregon
ZIP Code: 97225-6652
Phone: (503) 215-6550

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
Pediatrics	208000000X	Primary

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