Providence Health & Services - Oregon
Providence Health & Services - Oregon is an Integrative Medicine 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 1st Fl North TowerPortland, OR 97213-2933
Phone: (503) 215-3219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Integrative Medicine Physician (primary) | Taxonomy 202D00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1447652797 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 525-5392 |
| Other names | Providence Medical Group; Providence Integrative Medicine East |
| NPI enumerated | September 18, 2014 |
| Last updated in NPPES | June 30, 2025 |
| Certification date | June 30, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
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Providence Health & Services - Oregon
9135 SW Barnes Rd Ste 261, Portland, OR 97225-6784 · (503) 216-0246
-
Providence Health & Services Oregon
4400 NE Halsey St Bldg 2 Ste 599, Portland, OR 97213-1545 · (503) 215-3300