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

Providence Health & Services - Oregon

Organization Physical Medicine & Rehabilitation Physician · NPI 1912318130

Providence Health & Services - Oregon is a Physical Medicine & Rehabilitation Physician in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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Practice location Address checks out

5050 NE Hoyt St Ste 611
Portland, OR 97213-2990
Phone: (503) 215-8699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 507 Ne 47th Ave, Portland, OR 97213-2236 — (503) 215-8699

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1912318130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Physiatry
NPI enumeratedMay 9, 2014
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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