NPI 1003223959
Providence Health & Services - Oregon
Practice location
- Address
- 18650 NW Cornell Rd Suite 212, Hillsboro, OR 97124-9208
- Phone
- (503) 537-5900
- Fax
- (503) 537-5959
- Mailing address
- PO Box 31001 - 4180, Pasadena, CA 91110-4180
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Asst Secretary for Enrollment
- Phone
- (425) 358-9786
Registered specialties (2)
Internal Medicine Physician
Primary
Clinic/Center
Registry record
- NPI
- 1003223959
- Entity type
- Organization
- NPI issued
- 11 Jul 2014
- Record last updated
- 20 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.