PROVIDENCE HEALTH & SERVICES - OREGON NPI 1548676141

NPI Information

  • NPI: 1548676141
  • Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Organization
  • :
  • Address: 4805 NE GLISAN ST
    SUITE 6N50
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-7901

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NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is a clinical genetics (m.d.) medical genetics in Portland, OR. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1548676141. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4805 NE GLISAN ST
SUITE 6N50
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-7901
Fax: (503) 215-7904

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

The enumeration date for this NPI number is 7/3/2014 and was last updated on 6/30/2025.

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
2207SG0201XMedical GeneticsClinical Genetics (M.D.)Yes

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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