Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Dermatology Physician in Portland, Oregon. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
5330 NE Glisan St Ste 200Portland, OR 97213-3069
Phone: (503) 215-9080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1891992624 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Medical Group Dermatologic Specialties |
| NPI enumerated | June 27, 2007 |
| Last updated in NPPES | July 4, 2025 |
| Certification date | July 4, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Portland
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Dr. Julia Ho Obadiah, MD
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-
Alex G. Ortega Loayza, MD
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-
Dr. Franklin Parker, MD
3303 SW Bond Ave, Portland, OR 97239-4501 · (503) 494-4713
-
Providence Health & Services - Oregon
417 SW 117th Ave 2nd Fl, Portland, OR 97225-5924 · (503) 216-9400
-
Sue Shuyang Qin, MD, PHD
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098 · (503) 494-8211
-
Dr. Omar N Qutub, MD
1129 NW 11th Ave, Portland, OR 97209-3469 · (503) 705-2331
-
Reed Dermatology Northwest LLC
13305 NW Cornell Rd Ste C, Portland, OR 97229-5987 · (503) 765-5000
-
Barbara E. Resnick, MD
1414 NW Northrup St Ste 600, Portland, OR 97209 · (503) 223-3104