PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1679697247
Psychologist - Cognitive & Behavioral in Portland, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1679697247), doing business as Providence Cognitive Assessment Clinic, is a healthcare organization registered as a cognitive & behavioral in Portland, Oregon and active in the NPI registry since March 2007. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
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.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
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 1679697247. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Providence Cognitive Assessment Clinic and Providence Medical Group.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 9155 SW Barnes Rd Suite 317, 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 Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
When was this NPI record last updated?
The NPPES record for Providence Health & Services - Oregon was last updated on July 4, 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.
# Providence Health & Services - Oregon · NPI 1679697247
Cognitive & Behavioral organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1679697247 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Also known as:** PROVIDENCE COGNITIVE ASSESSMENT CLINIC (Doing Business As); PROVIDENCE MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECREATRY FOR ENROLLMENT
## Practice location
- **Address:** 9155 SW BARNES RD, SUITE 317, Portland, OR 97225-6630
- **Phone:** (503) 216-1150
## Record status
- **NPPES last updated:** July 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679697247) · Data from the CMS NPPES public registry.