PROVIDENCE HEALTH & SERVICES OREGON NPI 1043366172

NPI Information

  • NPI: 1043366172
  • Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
  • Classification: Internal Medicine - 207RH0002X
  • Specialization: Hospice and Palliative Medicine
  • Entity Type: Organization
  • :
  • Address: 6410 NE HALSEY ST
    SUITE 300
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-4691

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NPI Details

PROVIDENCE HEALTH & SERVICES OREGON is a hospice and palliative medicine internal medicine in Portland, OR. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1043366172. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

6410 NE HALSEY ST
SUITE 300
PORTLAND, OR
ZIP 97213-749
Phone: (503) 215-4691

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261Q00000XClinic/CenterOREGONNo
3207RH0002XInternal MedicineHospice and Palliative MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1247685MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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