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

Providence Health & Services - Oregon

Organization Neurology Physician · NPI 1699804336

Providence Health & Services - Oregon is a Neurology Physician in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

9427 SW Barnes Rd Ste 595
Portland, OR 97225-6640
Phone: (503) 216-1150
Fax: (503) 216-1066
Show map & directions

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

Specialties & licences

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

Record details

NPI number1699804336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Neurological Specialties Psv Mjp; Providence Neurological Specialties Psv Mjp
NPI enumeratedMarch 5, 2007
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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