PROVIDENCE HEALTH & SERVICES OREGON
NPI 1760177737
Psychiatry & Neurology - Psychiatry in Portland, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1760177737. It was assigned to this organization in the NPPES registry on April 6, 2023. The provider is doing business as Providence Medical Group.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 06, 2023

4400 NE HALSEY ST, BLDG 2, STE 599, PORTLAND, OR 97213(503) 215-3300 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Apr 6, 2023 (3 updates tracked since 2023).

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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 1760177737), doing business as Providence Medical Group, is a healthcare organization registered as a psychiatry in Portland, Oregon and active in the NPI registry since April 2023. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollment, as its authorized official.

NPPES Registry Identity

NPI1760177737

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address4400 NE HALSEY ST, BLDG 2, STE 599Portland, OR 97213-1545

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

Phone(503) 215-3300

Organization SubpartNo

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

Enumeration DateApril 6, 2023

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1760177737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

4400 NE HALSEY ST, BLDG 2, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTH & SERVICES OREGON

Psychiatry & Neurology (Addiction Psychiatry)

4400 NE HALSEY ST, BLDG 2, STE 599
PORTLAND, OR 97213

Multnomah County (503) 215-2110

PROVIDENCE HEALTH & SERVICES OREGON

Physical Medicine & Rehabilitation

4400 NE HALSEY ST, BLDG 2, STE 599
PORTLAND, OR 97213

Multnomah County (032) 153-3005

DR. CHANG MIN LEE MD

Internal Medicine

4400 NE HALSEY ST, BLDG 2, 3RD FLOOR
PORTLAND, OR 97213

Multnomah County (503) 215-0750

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 1760177737. It was assigned to this organization in the NPPES registry on April 6, 2023. The provider is doing business as Providence Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4400 NE Halsey St, Bldg 2 Ste 599, Portland, OR 97213. The listed phone number is (503) 215-3300.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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.