Organization · Type 2 NPI

Providence Health & Services - Oregon

Medical Oncology Physician · Portland, OR

NPI number 1700166782 Active

Practice location

4805 NE Glisan St Ste 11N
Portland, OR 97213-2933

Call (503) 215-7920 Map

Fax (503) 215-7905

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Medical Oncology Physician Primary	207RX0202X	None listed
Clinic/Center	261Q00000X	None listed

Medical Oncology Physician: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

38 other providers at this address

Other medical oncology physician providers in Portland

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NPI record

NPI: 1700166782
Entity type: Organization (Type 2)
Issued: Aug 23, 2011
Last updated: Mar 23, 2026
Status: Active

Other names

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Providence Medical Group · doing business as
Providence Breast Care Clinic - East · doing business as

Authorized official

Donald W Anderson
Assistant Secretary 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 1700166782

Providence Health & Services - Oregon's National Provider Identifier is 1700166782, issued on Aug 23, 2011. The primary taxonomy on file is Medical Oncology Physician (207RX0202X), and the practice location is in Portland, OR. The record was last updated on Mar 23, 2026.