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

Providence Health & Services - Oregon

Organization Neurology Physician · NPI 1184957821

Providence Health & Services - Oregon is a Neurology Physician in Portland, Oregon. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

9155 SW Barnes Rd Ste 461
Portland, OR 97225-6625
Phone: (503) 216-1150
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1184957821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Neurological Specialties Psv
NPI enumeratedSeptember 14, 2009
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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