NPI 1033804091
Providence Health & Services Oregon
Practice location
- Address
- 4400 NE Halsey St, Bldg 2 STE 599, Portland, OR 97213-9721
- Phone
- (503) 215-2110
- 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
Addiction Psychiatry Physician
Primary
Registry record
- NPI
- 1033804091
- Entity type
- Organization
- NPI issued
- 6 Apr 2023
- 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.