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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

Dermatology · PORTLAND, OR

Registration Details

NPI Number
1891992624
Provider Type
Organization
NPI Issued
Jun 27, 2007 (18.818552277885 yrs)
Last Updated
Jul 4, 2025

Practice Information

Address
5330 NE GLISAN ST
SUITE 200
PORTLAND, OR, 972133069
Browse OR providers · Browse ZIP 97213
Phone
5032159080
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Procedural Dermatology
Additional Specialty
Clinic/Center
Additional Specialty
Dermatology
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.