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Contact Information

PROVIDENCE HEALTH & SERVICES - OREGON
9135 SW BARNES RD
SUITE 261
PORTLAND, OR97225-6784
 Phone: 503-215-1350
 Fax: 503-215-1349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Clinic/Center

261Q00000X
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - OREGON

NPI # 1295171767
LBN Legal business name PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2013
Last updated 06/20/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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