Providence Health & Services - Oregon
NPI 1891992624 · Dermatology Physician · Portland, OR
Providence Health & Services - Oregon is a Dermatology Physician organization in Portland, OR (NPI 1891992624).
Provider details
- NPI number
- 1891992624
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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 Medical Group Dermatologic Specialties
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2025-07-04
- Certified
- 2025-07-04
Frequently asked questions
- What is Providence Health & Services - Oregon's NPI number?
- Providence Health & Services - Oregon's National Provider Identifier (NPI) is 1891992624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services - Oregon?
- Providence Health & Services - Oregon is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services - Oregon located?
- Providence Health & Services - Oregon's practice location on file with NPPES is 5330 Ne Glisan St, Portland, OR 97213-3069.
- What is Providence Health & Services - Oregon's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services - Oregon is (503) 215-9080.
- Who is the authorized official for Providence Health & Services - Oregon?
- The authorized official listed on Providence Health & Services - Oregon's NPPES record is Donald Anderson, Assistant Secretary Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services - Oregon's NPI active?
- Yes — Providence Health & Services - Oregon's NPI (1891992624) is active in the NPPES registry as of the last update on 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.