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

Providence Health & Services - Oregon

Organization Neurology Physician · NPI 1578807418

Providence Health & Services - Oregon is a Neurology Physician in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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Practice location Address checks out

5050 NE Hoyt St Ste 315
Portland, OR 97213-2982
Phone: (503) 215-8580
Fax: (971) 282-0125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5050 Ne Hoyt St, Portland, OR 97213-2982 — (503) 215-8580

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1578807418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Neurological Specialties East
NPI enumeratedNovember 15, 2012
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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