Providence Health & Services - Oregon
Neurology Clinic
9155 Sw Barnes Rd, Ste 333, Portland
Oregon, 97225-6625
503-216-5102 503-216-2485
Maps & DirectionsProvidence Health & Services - Oregon is a Neurology Clinic in Portland, Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 9155 Sw Barnes Rd, Ste 333, Portland, OR and its contact number is 503-216-5102. The authorized person for Providence Health & Services - Oregon is Mr. Donald W Anderson Jr.
who is Assistant Secretary Of Enrollments of the clinic and his/her contact number is 425-358-9786.
Providence Health & Services - Oregon Clinic 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.
Complete Clinic Profile:
Providence Health & Services - Oregon Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Health & Services - Oregon |
| Specialization: | Neurology |
| Clinic Address: | 9155 Sw Barnes Rd, Ste 333, Portland, Oregon, 97225-6625 |
| Phone: | 503-216-5102 |
| Fax: | 503-216-2485 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Donald W Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health & Services - Oregon clinic are as mentioned below.
| NPI Number: | 1013192806 |
| Parent Organization: | Providence Health & Services - Oregon |
| NPI Enumeration Date: | 31 Dec, 2007 |
| NPI Last Update On: | 20 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Oregon are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | Oregon | Primary | |
| Neurology | | | Secondary | |
| Child & Adolescent Psychiatry | | Oregon | Secondary | |
| Geriatric Psychiatry | | Oregon | Secondary | |
| Adult Mental Health | | | Secondary | |
| Adolescent and Children Mental Health | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
| Psych/Mental Health | | Oregon | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 245786 | Medicaid | Oregon | |
| 500601075 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health & Services - Oregon Po Box 31001 - 4180, Pasadena, California |
| Zip: | 91110-4180 |
| Phone Number: | 503-215-6494 |
| Fax Number: | 503-215-6644 |
Patients can reach Providence Health & Services - Oregon at
9155 Sw Barnes Rd, Ste 333, Portland, Oregon or can
call to book an appointment on 503-216-5102.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.