Organization · Type 2 NPI

Providence Health & Services - Oregon

Hematology & Oncology Physician · Portland, OR

NPI number 1760726293 Active

Practice location

830 NE 47th Ave
Portland, OR 97213-2212

Call (503) 215-3053 Map

Fax (503) 215-3037

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Clinic/Center	261Q00000X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

47 other providers at this address

Other hematology & oncology physician providers in Portland

See all in Portland →

NPI record

NPI: 1760726293
Entity type: Organization (Type 2)
Issued: Nov 21, 2012
Last updated: Jul 1, 2025
Status: Active

Other names

<unavail>
Providence Medical Group · doing business as
Providence Oral Head and Neck Cancer Clinic North · doing business as
Providence Oral Head and Neck Cancer Clinic North · 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.

Is this your record? How to update it.

About NPI 1760726293

Providence Health & Services - Oregon's National Provider Identifier is 1760726293, issued on Nov 21, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Portland, OR. The record was last updated on Jul 1, 2025.