OrganizationActive
Providence Health & Services - Oregon
NPI 1174918890 · Critical Care Medicine (Internal Medicine) Physician · Portland, OR
Provider details
- NPI number
- 1174918890
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9205 Sw Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-3191
Fax: (503) 216-3190
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001-4199
Pasadena, CA 91110-4199
Other names (DBA / former)
- Doing business as
- Providence Physicians Intensivists
- Doing business as
- Providence Physicians Intensivists
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2025-04-29
- Certified
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.