Organization · Type 2 NPI

Providence Health & Services - Oregon

Obstetrics & Gynecology Physician · Portland, OR

NPI number 1013217975 Active

Practice location

4805 NE Glisan St Ste 11N
Portland, OR 97213-2933

Call (503) 215-2075 Map

Fax (503) 215-2077

Mailing address

PO Box 31001-4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed
Clinic/Center 261Q00000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

38 other providers at this address

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About NPI 1013217975

Providence Health & Services - Oregon's National Provider Identifier is 1013217975, issued on Oct 26, 2010. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2026.