National Provider Identifier Database

PROVIDENCE HEALTH SERVICES OREGON
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

PROVIDENCE HEALTH & SERVICES OREGON
5050 NE HOYT ST
SUITE 454
PORTLAND, OR97213
Phone: 503-215-6405
Fax:
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Clinic/Center 261Q00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES OREGON

NPI Number 1447371117
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES OREGON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 04/02/2007
Last updated 07/04/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 048624

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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