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 1376959973

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

In the registry since
2014
Specialties on file
2

Practice location Address checks out

4805 NE Glisan St Family Maternity Ctr Unit 3K
Portland, OR 97213-2933
Phone: (503) 215-6150
Fax: (503) 215-6299
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1376959973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Ob Hospitalists Ppmc; Providence Ob Hospitalists Ppmc
NPI enumeratedJuly 3, 2014
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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