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

Providence Health & Services Oregon

Organization Hematology & Oncology Physician · NPI 1801010004

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

In the registry since
2007
Specialties on file
6
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Practice location Address checks out

4805 NE Glisan St Ste 11N
Portland, OR 97213-2933
Phone: (503) 215-8650
Fax: (503) 215-8653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X
Hepatology Physician Taxonomy 207RI0008X
Medical Oncology Physician Taxonomy 207RX0202X
Surgery Physician Taxonomy 208600000X
Surgical Oncology Physician Taxonomy 2086X0206X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1801010004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary For Enrollments · (425) 358-9786
Other names Providence Liver Cancer Clinic; Providence Medical Group; Providence Medical Group
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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