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Providence Health & Services - Oregon — NPI 1437595857, Portland, OR | NPI Central

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NPI 1437595857

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Providence Health & Services - Oregon

NPI 1437595857 · Medical Oncology Physician · Portland, OR

Provider details

NPI number: 1437595857
Entity type: Organization
Primary specialty: Medical Oncology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary Enrollment(425) 358-9786

Specialties & taxonomies

Medical Oncology PhysicianPrimary207RX0202X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities

Practice location

4805 Ne Glisan St Ste 11n

Portland, OR 97213-2933

Phone: (503) 215-5696

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 31001 - 4180

Pasadena, CA 91110-4180

Other names (DBA / former)

Doing business as: Providence Medical Group
Doing business as: Providence East Oncology Palliative Care Clinic

Registry dates

Enumerated: 2013-05-13
Last updated: 2026-03-23
Certified: 2026-03-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.