NPI 1033299458

Providence Health & Services - Oregon

Organisation Pediatrics Physician Portland, OR

Practice location

Address: 9427 SW Barnes Rd Suite 598, Portland, OR 97225-6652
Phone: (503) 216-8654
Fax: (503) 216-8658
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 (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1033299458
Entity type: Organization
NPI issued: 17 Oct 2006
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.