Organization · Type 2 NPI

Providence Health & Services - Oregon

Gynecology Physician · Portland, OR

NPI number 1083059778 Active

Practice location

9427 SW Barnes Rd, Suite 599
Portland, OR 97225-6652

Call (503) 216-0490 Map

Fax (503) 216-0495

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed
Clinic/Center 261Q00000XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1083059778

Providence Health & Services - Oregon's National Provider Identifier is 1083059778, issued on May 8, 2013. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.