PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1689845489
Psychiatry & Neurology - Neurology in Salem, OR

Active since March 19, 2008
2478 13TH ST SE, SALEM, OR 97302(503) 362-2481 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1689845489), doing business as Prov Peds Neurology Salem, is a healthcare organization registered as a neurology in Salem, Oregon and active in the NPI registry since March 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1689845489
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address2478 13TH ST SESalem, OR 97302-2522
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 19, 2008
Last NPPES UpdateJuly 4, 2025
NPPES CertifiedJuly 4, 2025
NPI 1689845489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedClinic/CenterTaxonomy 261Q00000X
2478 13TH ST SE, Salem, OR 97302

Other Names 2

Doing Business AsProv Peds Neurology Salem
Doing Business AsProvidence Medicalgroup

Other Identifiers 1

Medicaid279131OR

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.

Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Counselor (Mental Health)
2478 13TH ST SE
SALEM, OR 97302
Internal Medicine
2478 13TH ST SE, SUITE 200
SALEM, OR 97302
Counselor (Professional)
2478 13TH ST SE, 200
SALEM, OR 97302
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Speech-Language Pathologist
2478 13TH ST SE
SALEM, OR 97302
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Pediatrics
2478 13TH ST SE
SALEM, OR 97302

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 1689845489. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Prov Peds Neurology Salem and Providence Medicalgroup.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 2478 13th St SE, Salem, OR 97302. The listed phone number is (503) 362-2481.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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.