Providence Health & Services Oregon
Psychiatry | Geriatric Clinic
5251 Ne Glisan St, Bldg A, 2nd Floor, Portland
Oregon, 97213-3052
503-215-4860 Maps & DirectionsProvidence Health & Services Oregon is a Psychiatry | Geriatric Clinic in Portland, Oregon. It is located at 5251 Ne Glisan St, Bldg A, 2nd Floor, Portland, OR and its contact number is 503-215-4860. The authorized person for Providence Health & Services Oregon is 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 has mental health professionals having psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
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: | Geriatric |
| Clinic Address: | 5251 Ne Glisan St, Bldg A, 2nd Floor, Portland,
Oregon, 97213-3052 |
| Phone: | 503-215-4860 |
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 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: | 1093963209 |
| NPI Enumeration Date: | 29 Aug, 2008 |
| NPI Last Update On: | 26 May, 2026 |
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 | |
| Adult Mental Health | | | Primary | |
| Geriatric Psychiatry | | Oregon | Secondary | |
| Adolescent and Children Mental Health | | Oregon | Secondary | |
| Child & Adolescent Psychiatry | | Oregon | Secondary | |
| Psych/Mental Health | | Oregon | Secondary | |
| Psychiatry | | 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 |
| 500601335 | Medicaid | Oregon | |
| 500611962 | 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: | -- |
Patients can reach Providence Health & Services Oregon at
5251 Ne Glisan St, Bldg A, 2nd Floor, Portland, Oregon or can
call to book an appointment on 503-215-4860.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.