Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Oregon

Organization Transplant Surgery Physician · NPI 1629720479

Providence Health & Services - Oregon provides Transplant Surgery Physician services in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-1234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X

Record details

NPI number1629720479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence St Vincent Mc - Cardiac Transplant; Providence St Vincent Mc - Cardiac Transplant
NPI enumeratedJanuary 24, 2022
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

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