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

Providence Health & Services Oregon

Organization Integrative Medicine Physician · NPI 1366145716

Providence Health & Services Oregon is an Integrative Medicine Physician in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
9

Practice location Address checks out

4400 NE Halsey St Bldg 2 Ste 599
Portland, OR 97213-1545
Phone: (503) 215-3300
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Integrative Medicine Physician Taxonomy 202D00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Occupational Medicine Physician Taxonomy 2083X0100X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1366145716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group
NPI enumeratedMarch 24, 2023
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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