Providence Health & Services Oregon
Providence Health & Services Oregon is an Addiction Psychiatry Physician in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4400 NE Halsey St Bldg 2 Ste 599Portland, OR 97213-9721
Phone: (503) 215-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Psychiatry Physician (primary) | Taxonomy 2084P0802X |
|---|
Record details
| NPI number | 1033804091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Medical Group |
| NPI enumerated | April 6, 2023 |
| Last updated in NPPES | June 20, 2025 |
| Certification date | June 20, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
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