NPI 1083059778

Providence Health & Services - Oregon

Organisation Gynecology Physician Portland, OR

Practice location

Address: 9427 SW Barnes Rd Suite 599, Portland, OR 97225-6652
Phone: (503) 216-0490
Fax: (503) 216-0495
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary Enrollments
Phone: (425) 358-9786

Registered specialties (2)

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X

Other Obstetrics & Gynecology providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1083059778
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 4 Jul 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.