Organization · Type 2 NPI

Providence Health & Services - Oregon

Cardiovascular Disease Physician · Gresham, OR

NPI number 1437442795 Active

Practice location

440 NW Division St
Gresham, OR 97030-5506

Call (503) 962-1000 Map

Fax (503) 963-3005

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Clinic/Center	261Q00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

21 other providers at this address

NPI record

NPI: 1437442795
Entity type: Organization (Type 2)
Issued: May 19, 2011
Last updated: Jul 4, 2025
Status: Active

Other names

<unavail>
Providence Medical Group · doing business as
Providence Heart Clinic Gresham · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollment
(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 1437442795

Providence Health & Services - Oregon's National Provider Identifier is 1437442795, issued on May 19, 2011. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Gresham, OR. The record was last updated on Jul 4, 2025.