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

Providence Health & Services - Oregon

Organization Cognitive & Behavioral Psychologist · NPI 1679697247

Providence Health & Services - Oregon is a Cognitive & Behavioral Psychologist in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

9155 SW Barnes Rd Ste 317
Portland, OR 97225-6630
Phone: (503) 216-1150
Show map & directions

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

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1679697247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786
Other names Providence Cognitive Assessment Clinic; Providence Medical Group
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Portland