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Providence Health & Services - Oregon

Dermatology Physician in Portland, OR · enumerated 2006 · authorized official Donald Anderson, Asst Sec Enroll.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083714141

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Practice address 417 Sw 117th Ave, 2nd Floor, Portland, OR, 97225
Phone (503) 216-9400
Fax (503) 216-9499
Enumeration date Sep 25, 2006
Last updated in NPPES Jun 20, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Donald Anderson
Title Asst Sec Enroll
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
065003 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Providence Health & Services - Oregon?
NPPES lists Donald Anderson (Asst Sec Enroll) as the authorized official for this organization.
What is the NPI number for Providence Health & Services - Oregon?
The NPI for Providence Health & Services - Oregon is 1083714141, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-20.