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

Providence Health & Services - Oregon

Organization Clinic Pharmacy · NPI 1417198862

Providence Health & Services - Oregon is a Clinic Pharmacy in Portland, Oregon. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

4400 NE Halsey St Bldg 2 4TH Fl
Portland, OR 97213-1545
Phone: (503) 893-6900
Show map & directions

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

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X

Record details

NPI number1417198862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmg Clinical Pharmacy; Providence Medical Group
NPI enumeratedMarch 16, 2009
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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