Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Pediatric Neurodevelopmental Disabilities Physician in Portland, Oregon. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
830 NE 47th AvePortland, OR 97213-2212
Phone: (503) 215-2233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X |
|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | Taxonomy 2080P0008X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1295105518 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Children'S Development Institute At Child Center |
| NPI enumerated | September 29, 2015 |
| Last updated in NPPES | June 20, 2025 |
| Certification date | June 20, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Portland
-
Kaitlin Ann Greene
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-5856
-
Aran Groves, MD
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-5856
-
Rita Panoscha, MD
707 SW Gaines St, Portland, OR 97239-2901 · (800) 452-3563
-
Susan M Preneta
5847 NE 122nd Ave, Portland, OR 97230-1079 · (971) 339-7040
-
Dr. Mandie Wiebers Jensen, MD
707 SW Gaines St, Portland, OR 97239-2901 · (503) 452-3563