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

Providence Health & Services - Oregon

Organization Internal Medicine Physician · NPI 1205188893

Providence Health & Services - Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5050 NE Hoyt St Ste 540
Portland, OR 97213-2985
Phone: (503) 215-6601
Fax: (503) 215-6727
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Internal Medicine Physician Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1205188893
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 Infectious Disease Consultants East
NPI enumeratedOctober 8, 2012
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Portland