Providence Health & Services - Oregon
Child Neurology Clinic
9427 Sw Barnes Rd Ste 395, Portland
Oregon, 97225-6652
503-216-1280 503-216-1288
Maps & DirectionsProvidence Health & Services - Oregon is a Child Neurology Clinic in Portland, Oregon. It is located at 9427 Sw Barnes Rd Ste 395, Portland, OR and its contact number is 503-216-1280. The authorized person for Providence Health & Services - Oregon is Donald Wayne Anderson Jr.
who is Assistant Secretary Enrollment of the clinic and his/her contact number is 425-358-9786.
Providence Health & Services - Oregon Clinic specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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: | Child Neurology |
| Clinic Address: | 9427 Sw Barnes Rd Ste 395, Portland,
Oregon, 97225-6652 |
| Phone: | 503-216-1280 |
| Fax: | 503-216-1288 |
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: | Donald Wayne Anderson Jr. |
| Position: | Assistant Secretary Enrollment |
| 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: | 1316125149 |
| NPI Enumeration Date: | 04 Feb, 2008 |
| NPI Last Update On: | 04 Jul, 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 | |
| Neurology with Special Qualifications in Child Neurology | | | Primary | |
| Clinic/center | | | 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 |
| 279056 | 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 3158,
Portland, Oregon |
| Zip: | 97208-3158 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Providence Health & Services - Oregon at
9427 Sw Barnes Rd Ste 395, Portland, Oregon or can
call to book an appointment on 503-216-1280.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.