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

Providence Health & Services - Oregon

Organization Hematology & Oncology Physician · NPI 1760726293

Providence Health & Services - Oregon is a Hematology & Oncology Physician in Portland, Oregon. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

830 NE 47th Ave
Portland, OR 97213-2212
Phone: (503) 215-3053
Fax: (503) 215-3037
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1760726293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Oral Head And Neck Cancer Clinic North; Providence Oral Head And Neck Cancer Clinic North
NPI enumeratedNovember 21, 2012
Last updated in NPPESJuly 1, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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