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

Providence Health & Services Oregon

Organization Obstetrics & Gynecology Physician · NPI 1235534116

Providence Health & Services Oregon is an Obstetrics & Gynecology Physician in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

9205 SW Barnes Rd 3rd Fl Maternity - MT 3401
Portland, OR 97225-6603
Phone: (503) 216-3388
Fax: (503) 216-7400
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1235534116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Corp Secretary For Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Ob Hospitalists Psvmc
NPI enumeratedNovember 4, 2014
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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