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

Providence Health & Services - Oregon

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1316125149

Providence Health & Services - Oregon is a Neurology with Special Qualifications in Child Neurology Physician in Portland, Oregon. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Phone: (503) 216-1280
Fax: (503) 216-1288
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1316125149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Pediatric Neurology Mjp
NPI enumeratedFebruary 4, 2008
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158

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