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Providence Health & Services - Oregon

Neurology with Special Qualifications in Child Neurology Physician in Portland, OR · enumerated 2008 · authorized official Donald Anderson, Assistant Secretary Enrollment.

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

National Provider Identifier

1316125149

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Practice address 9427 Sw Barnes Rd Ste 395, Portland, OR, 97225
Phone (503) 216-1280
Fax (503) 216-1288
Enumeration date Feb 4, 2008
Last updated in NPPES Jul 4, 2025

Taxonomy & classification

2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollment
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
279056 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-04. Verify at npiregistry.cms.hhs.gov.
Where is Providence Health & Services - Oregon located?
The practice location on file with NPPES is in Portland, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-04.