Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Dermatology Physician in Portland, Oregon. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
417 SW 117th Ave 2nd FlPortland, OR 97225-5924
Phone: (503) 216-9400
Fax: (503) 216-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1083714141 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Asst Sec Enroll · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Medical Group Sunset |
| NPI enumerated | September 25, 2006 |
| 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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Joseph Michael Obadiah, MD
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Alex G. Ortega Loayza, MD
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Dr. Franklin Parker, MD
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Providence Health & Services - Oregon
5330 NE Glisan St Ste 200, Portland, OR 97213-3069 · (503) 215-9080
-
Sue Shuyang Qin, MD, PHD
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-
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