Providence Health & Services Oregon

Specialty details in registry · Portland, OR

Call (503) 215-2110 Directions

At a glance

4400 Ne Halsey St, Bldg 2, Portland, OR 97213-9721

NPPES record updated Jun 20, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4400 Ne Halsey St, Bldg 2 Ste 599
Portland, OR 97213-9721
Professional details: NPI, taxonomy & registry record
NPI1033804091
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2084P0802X
Enumeration date
Apr 6, 2023
Record updated
Jun 20, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

2084P0802X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4400 Ne Halsey St, Bldg 2
Ste 599
Portland, OR 97213-9721
Phone
(503) 215-2110
Mailing address
PO BOX 31001 - 4180

PASADENA, CA 911104180
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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