Providence Health & Services Oregon
Providence Health & Services Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
5211 NE Glisan St Bldg CPortland, OR 97213-3052
Phone: (503) 215-6628
Fax: (503) 215-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1003319724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Medical Group |
| NPI enumerated | March 9, 2018 |
| Last updated in NPPES | June 20, 2025 |
| Certification date | June 20, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Portland
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Providence Health & Services - Oregon
9205 SW Barnes Rd Mt 2800, Portland, OR 97225-6603 · (503) 216-2621
-
Providence Health & Services - Oregon
4805 NE Glisan St Ste BG05, Portland, OR 97213-2933 · (503) 215-2392
-
Providence Health & Services - Oregon
5050 NE Hoyt St Ste 117, Portland, OR 97213-2955 · (503) 215-1874
-
Providence Health & Services - Oregon
501 N Graham St Ste 550, Portland, OR 97227-2010 · (503) 335-3599
-
Ralph Merrill Prows, MD
200 SW Market St Mail Stop E12A, Portland, OR 97201-5715 · (503) 225-5170
-
Dr. Jill Elizabeth Pruett, MD
1015 NW 22nd Avenue R 200, Portland, OR 97210-3025 · (503) 413-8407
-
Ryle W Przybylowicz, MD
10000 SE Main St Ste 60, Portland, OR 97216-2461 · (503) 257-0959
-
Tobias Pusch, MD
9155 SW Barnes Rd Ste 638, Portland, OR 97225-6633 · (503) 216-7000