NPI 1003319724

Providence Health & Services Oregon

Organisation Clinic/Center Portland, OR

Practice location

Address: 5211 NE Glisan St Bldg C, Portland, OR 97213-3052
Phone: (503) 215-6628
Fax: (503) 215-6240
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (2)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Oregon →

Registry record

NPI: 1003319724
Entity type: Organization
NPI issued: 9 Mar 2018
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.