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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE HEALTH & SERVICES - OREGON

Active Organization

Geriatric Psychiatry · PORTLAND, OR

Registration Details

NPI Number
1548676141
Provider Type
Organization
NPI Issued
Jul 3, 2014 (11.80219170105 yrs)
Last Updated
Jun 30, 2025

Practice Information

Address
4805 NE GLISAN ST
SUITE 6N50
PORTLAND, OR, 972132933
Browse OR providers · Browse ZIP 97213
Phone
5032157901
Fax
5032157904
Primary Specialty
Geriatric Psychiatry
207SG0201X
Additional Specialty
Geriatric Psychiatry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.