Organization · Type 2 NPI

Providence Health & Services - Oregon

Psychiatry Physician · Portland, OR

NPI number 1013192806 Active

Practice location

9155 SW Barnes Rd, Ste 333
Portland, OR 97225-6625

Call (503) 216-5102 Map

Fax (503) 216-2485

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400XNone listed
Psychiatry Physician Primary 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1013192806

Providence Health & Services - Oregon's National Provider Identifier is 1013192806, issued on Dec 31, 2007. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.