Organization · Type 2 NPI

Providence Health & Services Oregon

Physical Medicine & Rehabilitation Physician · Portland, OR

NPI number 1437845641 Active

Practice location

4400 NE Halsey St, Bldg 2, Ste 599
Portland, OR 97213-1545

Call (032) 153-3005 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Physical Medicine & Rehabilitation Physician Primary	208100000X	None listed
Physical Therapist	225100000X	None listed
Occupational Therapist	225X00000X	None listed

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

3 other providers at this address

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NPI record

NPI: 1437845641
Entity type: Organization (Type 2)
Issued: Apr 12, 2023
Last updated: Jul 4, 2025
Status: Active

Other names

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Providence Medical Group · doing business as
Providence Medical Group · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of 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 1437845641

Providence Health & Services Oregon's National Provider Identifier is 1437845641, issued on Apr 12, 2023. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.