NPI 1154427821

Providence Health & Services - Oregon

Organisation Obstetrics & Gynecology Physician Portland, OR

Practice location

Address: 9135 SW Barnes Rd STE 761, Portland, OR 97225-6777
Phone: (503) 216-2602
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 (3)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1154427821
Entity type: Organization
NPI issued: 16 Sep 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.