NPI 1013192806
Providence Health & Services - Oregon
Practice location
- Address
- 9155 SW Barnes Rd STE 333, Portland, OR 97225-6625
- Phone
- (503) 216-5102
- Fax
- (503) 216-2485
- Mailing address
- PO Box 31001 - 4180, Pasadena, CA 91110-4180
Authorised official
- Name
- Donald W Anderson
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Registered specialties (8)
Psychiatry Physician
Primary
Neurology Physician
Child & Adolescent Psychiatry Physician
Geriatric Psychiatry Physician
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1013192806
- Entity type
- Organization
- NPI issued
- 31 Dec 2007
- 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.