PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1295105518
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since September 29, 2015

830 NE 47TH AVE, PORTLAND, OR 97213(503) 215-2233 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Sep 17, 2020 and 3 more (6 updates tracked since 2015).

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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 1295105518), doing business as Providence Medical Group, is a healthcare organization registered as a child & adolescent psychiatry in Portland, Oregon and active in the NPI registry since September 2015. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295105518

Entity TypeOrganization

Primary Taxonomy2084P0804X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address830 NE 47TH AVEPortland, OR 97213-2212

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 215-2233

Organization SubpartNo

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

Enumeration DateSeptember 29, 2015

Last NPPES UpdateJune 20, 20256 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1295105518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X

Also ListedClinic/CenterTaxonomy 261Q00000X

830 NE 47TH AVE, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Children's Development Institute At Child Center

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.

MORGAN S CASH OTR/L

Occupational Therapist