Organization · Type 2 NPI

Providence Health & Services - Oregon

Neurology Physician · Salem, OR

NPI number 1689845489 Active

Practice location

2478 13th St SE
Salem, OR 97302-2522

Call (503) 362-2481 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed
Clinic/Center	261Q00000X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

28 other providers at this address

NPI record

NPI: 1689845489
Entity type: Organization (Type 2)
Issued: Mar 19, 2008
Last updated: Jul 4, 2025
Status: Active

Other names

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Prov Peds Neurology Salem · doing business as
Prov Peds Neurology Salem · doing business as
Providence Medicalgroup · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollment
(425) 358-9786

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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 1689845489

Providence Health & Services - Oregon's National Provider Identifier is 1689845489, issued on Mar 19, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Salem, OR. The record was last updated on Jul 4, 2025.