PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1548676141
Medical Genetics - Clinical Genetics (M.D.) in Portland, OR

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

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Active since July 03, 2014

4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-7901(503) 215-7904 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jun 30, 2025, May 16, 2025 and 1 more (4 updates tracked since 2021).

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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 1548676141), doing business as Providence Medical Group, is a healthcare organization registered as a clinical genetics (m.d.) in Portland, Oregon and active in the NPI registry since July 2014. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1548676141

Entity TypeOrganization

Primary Taxonomy207SG0201X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933

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

Phone(503) 215-7901

Fax(503) 215-7904

Organization SubpartNo

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

Enumeration DateJuly 3, 2014

Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1548676141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST STE 11N, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Genetic Risk Assessmet East

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

PROVIDENCE HEALTH & SERVICES - OREGON

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