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 1245416965

Providence Health & Services - Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
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Practice location Address checks out

9427 SW Barnes Rd Ste 595
Portland, OR 97225-6652
Phone: (503) 296-9242
Fax: (503) 296-9856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1245416965
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Multiple Sclerosis Center
NPI enumeratedJanuary 11, 2008
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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