Organization · Type 2 NPI

Providence Health & Services Oregon

Obstetrics & Gynecology Physician · Portland, OR

NPI number 1235534116 Active

Practice location

9205 SW Barnes Rd, 3rd Floor Maternity - Mt 3401
Portland, OR 97225-6603

Call (503) 216-3388 Map

Fax (503) 216-7400

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None 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.

485 other providers at this address

Other obstetrics & gynecology physician providers in Portland

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NPI record

NPI: 1235534116
Entity type: Organization (Type 2)
Issued: Nov 4, 2014
Last updated: Jul 4, 2025
Status: Active

Other names

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Providence Medical Group · doing business as
Providence Ob Hospitalists Psvmc · doing business as

Authorized official

Donald Wayne Anderson
Asst Corp Secretary for Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235534116

Providence Health & Services Oregon's National Provider Identifier is 1235534116, issued on Nov 4, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.