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

Providence Health & Services - Oregon

Organization Internal Medicine Physician · NPI 1841442506

Providence Health & Services - Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

5050 NE Hoyt St Ste 117
Portland, OR 97213-2955
Phone: (503) 215-1874
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1841442506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Prov Pre Surg Clinic West; Providence Medical Group
NPI enumeratedOctober 14, 2008
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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