NPI 1548676141

Providence Health & Services - Oregon

Organisation Clinical Genetics (M.D.) Physician Portland, OR

Practice location

Address: 4805 NE Glisan St STE 11n, Portland, OR 97213-2933
Phone: (503) 215-7901
Fax: (503) 215-7904
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary Enrollment
Phone: (425) 358-9786

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1548676141
Entity type: Organization
NPI issued: 3 Jul 2014
Record last updated: 23 Mar 2026

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.