Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Providence Health & Services Oregon

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1043366172

Providence Health & Services Oregon is a Hospice and Palliative Medicine (Internal Medicine) Physician in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

6410 NE Halsey St Ste 300
Portland, OR 97213-4749
Phone: (503) 215-4691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 Sw Murray Blvd Ste 130, Beaverton, OR 97005-2354 — (503) 215-2669

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X
Clinic/Center Taxonomy 261Q00000X
Clinic/Center Taxonomy 261Q00000X (OR)

Record details

NPI number1043366172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Connections Medical Group; Providence Connections Medical Group
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158

Other providers in Portland