PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1376959973
Obstetrics & Gynecology in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since July 03, 2014

4805 NE GLISAN ST, FAMILY MATERNITY CENTER, UNIT 3K, PORTLAND, OR 97213(503) 215-6150(503) 215-6299 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Feb 17, 2025 and 1 more (4 updates tracked since 2020).

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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 1376959973), doing business as Providence Medical Group, is a healthcare organization registered as an obstetrics & gynecology in Portland, Oregon and active in the NPI registry since July 2014. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1376959973

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST, FAMILY MATERNITY CENTER, UNIT 3KPortland, OR 97213-2933

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

Phone(503) 215-6150

Fax(503) 215-6299

Organization SubpartNo

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

Enumeration DateJuly 3, 2014

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1376959973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST, Portland, OR 97213

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