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

Providence Health & Services - Oregon

Organization Internal Medicine Physician · NPI 1609938471

Providence Health & Services - Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

9205 SW Barnes Rd Mt 2800
Portland, OR 97225-6603
Phone: (503) 216-2621
Fax: (503) 216-7488
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1609938471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group At St Vincent
NPI enumeratedDecember 15, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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