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

Providence Health & Services - Oregon

Organization Obstetrics & Gynecology Physician · NPI 1154427821

Providence Health & Services - Oregon is an Obstetrics & Gynecology Physician in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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Practice location Address checks out

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone: (503) 216-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9427 Sw Barnes Rd, Portland, OR 97225-6652 — (503) 216-2602

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Physical Therapist Taxonomy 225100000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1154427821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Columbia Women'S Clinic
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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