Organization · Type 2 NPI

Providence Health & Services Oregon

Internal Medicine Physician · Portland, OR

NPI number 1164623401 Active

Practice location

4400 NE Halsey St
Portland, OR 97213-1545

Call (503) 893-6524 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Clinic/Center 261Q00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1164623401

Providence Health & Services Oregon's National Provider Identifier is 1164623401, issued on May 31, 2007. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.