PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1184957821
Psychiatry & Neurology - Neurology in Portland, OR

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since September 14, 2009

9155 SW BARNES RD STE 461, PORTLAND, OR 97225(503) 216-1150 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jun 20, 2025, May 16, 2025 and 3 more (6 updates tracked since 2017).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1184957821), doing business as Providence Medical Group, is a healthcare organization registered as a neurology in Portland, Oregon and active in the NPI registry since September 2009. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1184957821

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9155 SW BARNES RD STE 461Portland, OR 97225-6625

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 216-1150

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateSeptember 14, 2009

Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1184957821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedClinic/CenterTaxonomy 261Q00000X

9155 SW BARNES RD STE 461, Portland, OR 97225

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Neurological Specialties Psv

Other Identifiers 1

Medicaid500612019OR

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 1184957821. It was assigned to this organization in the NPPES registry on September 14, 2009. The provider is doing business as Providence Medical Group and Providence Neurological Specialties Psv.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9155 SW Barnes Rd Ste 461, Portland, OR 97225. The listed phone number is (503) 216-1150.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.