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

Providence Health & Services Oregon

Organization Physical Medicine & Rehabilitation Physician · NPI 1437845641

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

In the registry since
2023
Specialties on file
3

Practice location Address checks out

4400 NE Halsey St Bldg 2 Ste 599
Portland, OR 97213-1545
Phone: (032) 153-3005
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1437845641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group
NPI enumeratedApril 12, 2023
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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