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

Providence Health & Services Oregon

Organization Social Worker · NPI 1164623401

Providence Health & Services Oregon is a Social Worker in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

4400 NE Halsey St
Portland, OR 97213-1545
Phone: (503) 893-6524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Social Worker Taxonomy 104100000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1164623401
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
NPI enumeratedMay 31, 2007
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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