1013192806 PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Enumeration Date
- December 31, 2007
- Last Update
- May 15, 2025
- Authorized Official
- MR. DONALD W ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 9155 SW BARNES RD
STE 333
PORTLAND, OR 972256625 - Phone
- (503) 216-5102
- Fax
- (503) 216-2485
Mailing Address
- Address
- PO BOX 3158
PORTLAND, OR 972083158 - Phone
- (503) 215-6494
- Fax
- (503) 215-6644
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Neurology Physician Neurology | 2084N0400X | Psychiatry & Neurology | N/A | N/A | 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 |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | N/A | OR | No |
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | N/A | OR | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500601075 | 05 | OR | N/A |
| 245786 | 05 | OR | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1013192806.
Which doctor has NPI number 1013192806?
The doctor with NPI number 1013192806 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 9155 SW BARNES RD, STE 333, PORTLAND, OR, 972256625.
Which doctor practices at 9155 SW BARNES RD, STE 333, PORTLAND, OR, 972256625?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 9155 SW BARNES RD, STE 333, PORTLAND, OR, 972256625.
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) 216-5102.
Who is (503) 216-5102?
(503) 216-5102 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is Psychiatry Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a Psychiatry Physician.
Is PROVIDENCE HEALTH & SERVICES - OREGON a Psychiatry?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a Psychiatry.
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) 216-5102 to inquire about availability.
Is NPI 1013192806 still active?
Yes, NPI 1013192806 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in PORTLAND, OR.