PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1447652797
Integrative Medicine in Portland, OR

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

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Active since September 18, 2014

4805 NE GLISAN ST, 1ST FLOOR, NORTH TOWER, PORTLAND, OR 97213(503) 215-3219 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Sep 29, 2024 (2 updates tracked since 2024).

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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 1447652797), doing business as Providence Medical Group, is a healthcare organization registered as an integrative medicine in Portland, Oregon and active in the NPI registry since September 2014. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1447652797

Entity TypeOrganization

Primary Taxonomy202D00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST, 1ST FLOOR, NORTH TOWERPortland, OR 97213-2933

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

Phone(503) 215-3219

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 525-5392

Enumeration DateSeptember 18, 2014

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1447652797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Integrative Medicine East

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.

SALONA SHRESTHA MD

Internal Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-2392

PROVIDENCE HEALTH & SERVICES - OREGON

General Acute Care Hospital

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 451-3000

DR. ROBERT THOMAS MARTIN M.D.

Emergency Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 297-6334

CECILIA BRADFORD CRNA

Nurse Anesthetist, Certified Registered

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

PROVIDENCE HEALTH & SERVICES - OREGON

Psychiatric Unit

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4323

GITA D GELFER DO

Hospitalist

4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MECCA CARTER

Doula

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

JESUS ERNESTO CONRIQUE GARCIA

Nurse's Aide

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

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 1447652797. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Providence Medical Group and Providence Integrative Medicine East.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St 1st Floor, North Tower, Portland, OR 97213. The listed phone number is (503) 215-3219.

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

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 30, 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.