Providence Health & Services Oregon
NPI 1093963209 · Adult Mental Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1093963209
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group
- Doing business as
- Providence Psychiatry East
Registry dates
- Enumerated
- 2008-08-29
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.