NPI 1023738424
Providence Health & Service - Oregon
Practice location
- Address
- 4400 NE Halsey St Building 1, STE 200, Portland, OR 97213
- Phone
- (503) 215-6556
- Fax
- (503) 215-0685
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1023738424
- Entity type
- Organization
- NPI issued
- 29 Aug 2022
- Record last updated
- 16 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.