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

Providence Health & Services - Oregon

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1174918890

Providence Health & Services - Oregon is a Critical Care Medicine (Internal Medicine) Physician in Portland, Oregon. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-3191
Fax: (503) 216-3190
Show map & directions

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

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X

Record details

NPI number1174918890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Physicians Intensivists; Providence Physicians Intensivists
NPI enumeratedMarch 31, 2015
Last updated in NPPESApril 29, 2025
Certification dateApril 21, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

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