PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1013192806
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since December 31, 2007
9155 SW BARNES RD, STE 333, PORTLAND, OR 97225(503) 216-5102(503) 216-2485 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, May 15, 2025, Jun 13, 2024 and 1 more (4 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1013192806), doing business as Providence Medical Group, is a healthcare organization registered as a psychiatry in Portland, Oregon and active in the NPI registry since December 2007. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1013192806
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address9155 SW BARNES RD, STE 333Portland, OR 97225-6625
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 216-2485
Organization SubpartYes
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateDecember 31, 2007
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1013192806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse PractitionerTaxonomy 363L00000X
9155 SW BARNES RD, Portland, OR 97225

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Psychiatry West

Other Identifiers 2

Medicaid245786OR
Medicaid500601075OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 205
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1013192806. It was assigned to this organization in the NPPES registry on December 31, 2007. The provider is doing business as Providence Medical Group and Providence Psychiatry West.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9155 SW Barnes Rd Ste 333, Portland, OR 97225. The listed phone number is (503) 216-5102.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.