PROVIDENCE HEALTH & SERVICES - OREGON NPI 1174918890

NPI Information

  • NPI: 1174918890
  • Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Doing Business As: PROVIDENCE PHYSICIANS INTENSIVISTS
  • Address: 9205 SW BARNES RD
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 216-3191

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NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is a critical care medicine internal medicine in Portland, OR. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1174918890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Physicians Intensivists.

The provider's business location address is:

9205 SW BARNES RD
PORTLAND, OR
ZIP 97225-603
Phone: (503) 216-3191
Fax: (503) 216-3190

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment/ and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 3/31/2015 and was last updated on 6/19/2020.

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
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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