<Unavail>

LBN: Providence Health & Services Oregon
<Unavail> is an health care organization with primary practice located at 5251 Ne Glisan St Bldg A, 2Nd Floor, Portland OR 97213-3052. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-4860, or through Anderson, Donald W via phone (425) 358-9786.

Contact Information

Primary practice address
5251 Ne Glisan St Bldg A, 2Nd Floor Portland OR 97213-3052
Phone: (503) 215-4860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 358-9786

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Oregon
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Oregon
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X Oregon
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Oregon

Profile Details

NPI number 1093963209
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as <Unavail>
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2008
Last updated May 26th, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093963209 NPPES
Oregon MEDICAID 500601335
Oregon MEDICAID 500611962

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