OrganizationActive
Providence Health & Services - Oregon
NPI 1801193339 · Medical Oncology Physician · Portland, OR
Provider details
- NPI number
- 1801193339
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Asst Sec for Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4805 Ne Glisan St
Ste 6n50
Portland, OR 97213-2933
Phone: (503) 215-1351
Fax: (503) 215-1349
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001 - 4180
Pasadena, CA 91110-4180
Other names (DBA / former)
- Doing business as
- Providence Medical Group
- Doing business as
- Providence Oncology Palliative Care Clinic
Registry dates
- Enumerated
- 2011-02-18
- Last updated
- 2025-07-04
- Certified
- 2025-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.