NPI 1003991845
Providence Health & Services - Oregon
Practice location
- Address
- 4805 NE Glisan St, Portland, OR 97213-2933
- Phone
- (503) 451-3000
- Fax
- (503) 215-0297
- Mailing address
- PO Box 31001-4199, Pasadena, CA 91110-4199
Authorised official
- Name
- Donald W Anderson
- Title
- Assistant Secretary Enrollments
- Phone
- (425) 358-9786
Registered specialties (7)
General Acute Care Hospital
Primary
Anesthesiology Physician
Emergency Medicine Physician
Internal Medicine Physician
Nuclear Medicine Physician
Obstetrics & Gynecology Physician
Anatomic Pathology & Clinical Pathology Physician
Registry record
- NPI
- 1003991845
- Entity type
- Organization
- NPI issued
- 26 Oct 2006
- Record last updated
- 14 May 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.