NPI 1447652797

Providence Health & Services - Oregon

Organisation Integrative Medicine Physician Portland, OR

Practice location

Address: 4805 NE Glisan St 1st Floor, North Tower, Portland, OR 97213-2933
Phone: (503) 215-3219
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary Enrollment
Phone: (425) 525-5392

Registered specialties (2)

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

Other Integrative Medicine providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1447652797
Entity type: Organization
NPI issued: 18 Sep 2014
Record last updated: 30 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.