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

Providence Health & Services Oregon

Organization Pediatric Endocrinology Physician · NPI 1457759318

Providence Health & Services Oregon is a Pediatric Endocrinology Physician in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Phone: (503) 216-6050
Show map & directions

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

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X
Pediatric Infectious Diseases Physician Taxonomy 2080P0208X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1457759318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Pediatric Endocrinology
NPI enumeratedDecember 9, 2014
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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