Organization · Type 2 NPI

Providence Health & Services Oregon

Addiction Psychiatry Physician · Portland, OR

NPI number 1033804091 Active

Practice location

4400 NE Halsey St, Bldg 2, Ste 599
Portland, OR 97213-9721

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Addiction Psychiatry Physician Primary 2084P0802XNone listed

Addiction Psychiatry Physician: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

3 other providers at this address

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About NPI 1033804091

Providence Health & Services Oregon's National Provider Identifier is 1033804091, issued on Apr 6, 2023. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.