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

Providence Health & Services - Oregon

Organization Transplant Surgery Physician · NPI 1629720479

Providence Health & Services - Oregon is a Transplant Surgery Physician in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-1234
Show map & directions

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

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X

Record details

NPI number1629720479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence St Vincent Mc - Cardiac Transplant; Providence St Vincent Mc - Cardiac Transplant
NPI enumeratedJanuary 24, 2022
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

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