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

Providence Health & Services Oregon

Organization Cardiovascular Disease Physician · NPI 1114244597

Providence Health & Services Oregon is a Cardiovascular Disease Physician in Portland, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
6
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Practice location Address checks out

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6652
Phone: (503) 216-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Clinic/Center Taxonomy 261Q00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1114244597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence St Vincent Heart Clinics Cardiology
NPI enumeratedApril 26, 2010
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001-4180, Pasadena, CA 91110-4180

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