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

Providence Health & Services - Oregon

Organization Medical Oncology Physician · NPI 1801193339

Providence Health & Services - Oregon is a Medical Oncology Physician in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3

Practice location Address checks out

4805 NE Glisan St Ste 6N50
Portland, OR 97213-2933
Phone: (503) 215-1351
Fax: (503) 215-1349
Show map & directions

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

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X
Clinic/Center Taxonomy 261Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1801193339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Sec For Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Oncology Palliative Care Clinic
NPI enumeratedFebruary 18, 2011
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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