1093963209 PROVIDENCE HEALTH & SERVICES - OREGON

Adult Mental Health Clinic/Center

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES - OREGON
Enumeration Date
August 29, 2008
Last Update
May 16, 2025
Authorized Official
DONALD W ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
5251 NE GLISAN ST
BLDG A, 2ND FLOOR
PORTLAND, OR 972133052
Phone
(503) 215-4860

Mailing Address

Address
PO BOX 3158
PORTLAND, OR 972083158
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatry Physician
Psychiatry
2084P0800X Psychiatry & Neurology N/A OR No
Child & Adolescent Psychiatry Physician
Child & Adolescent Psychiatry
2084P0804X Psychiatry & Neurology N/A OR No
Geriatric Psychiatry Physician
Geriatric Psychiatry
2084P0805X Psychiatry & Neurology N/A OR No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A OR No
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health
363LP0808X Nurse Practitioner N/A OR No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
500611962 05 OR N/A
500601335 05 OR N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1093963209.
Which doctor has NPI number 1093963209?
The doctor with NPI number 1093963209 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 5251 NE GLISAN ST, BLDG A, 2ND FLOOR, PORTLAND, OR, 972133052.
Which doctor practices at 5251 NE GLISAN ST, BLDG A, 2ND FLOOR, PORTLAND, OR, 972133052?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 5251 NE GLISAN ST, BLDG A, 2ND FLOOR, PORTLAND, OR, 972133052.
What is PROVIDENCE HEALTH & SERVICES - OREGON's mailing address?
PROVIDENCE HEALTH & SERVICES - OREGON's mailing address is PO BOX 3158, PORTLAND, OR, 972083158.
What is PROVIDENCE HEALTH & SERVICES - OREGON's phone number?
PROVIDENCE HEALTH & SERVICES - OREGON's phone number is (503) 215-4860.
Who is (503) 215-4860?
(503) 215-4860 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is Adult Mental Health Clinic/Center.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a Adult Mental Health Clinic/Center.
Is PROVIDENCE HEALTH & SERVICES - OREGON a Adult Mental Health?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a Adult Mental Health.
Is PROVIDENCE HEALTH & SERVICES - OREGON still practicing?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is currently practicing.
Is PROVIDENCE HEALTH & SERVICES - OREGON accepting new patients?
PROVIDENCE HEALTH & SERVICES - OREGON may be accepting new patients. Please call their office at (503) 215-4860 to inquire about availability.
Is NPI 1093963209 still active?
Yes, NPI 1093963209 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in PORTLAND, OR.