PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1891992624
Dermatology in Portland, OR

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 27, 2007

5330 NE GLISAN ST, SUITE 200, PORTLAND, OR 97213(503) 215-9080 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, Jun 13, 2024, Jan 22, 2016 (3 updates tracked since 2016).

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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 1891992624), doing business as Providence Medical Group, is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since June 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1891992624

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address5330 NE GLISAN ST, SUITE 200Portland, OR 97213-3069

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

Phone(503) 215-9080

Organization SubpartNo

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

Enumeration DateJune 27, 2007

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1891992624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

Also ListedClinic/CenterTaxonomy 261Q00000X

5330 NE GLISAN ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Dermatologic Specialties

Other Identifiers 1

Medicaid006508OR

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

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 15

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

DAVID S PARTCH PA

Physician Assistant