Providence Health & Services Oregon
Providence Health & Services Oregon provides General Practice Physician services in Portland, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
4400 NE Halsey St Pop 2 3rd FlPortland, OR 97213-1545
Phone: (866) 876-2783
Fax: (503) 893-6680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1346751443 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group |
| NPI enumerated | October 16, 2017 |
| Last updated in NPPES | July 4, 2025 |
| Certification date | July 4, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
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