PROVIDENCE HEALTH & SERVICES OREGON – NPI #1033804091
Psychiatry & Neurology

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

PROVIDENCE HEALTH & SERVICES OREGON is a psychiatry & neurologist located in PORTLAND, OR. NPPES has assigned the NPI number 1033804091 to PROVIDENCE HEALTH & SERVICES OREGON on April 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

The NPI profile was last updated on Jun 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES OREGON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES OREGON

NPI Number
1033804091
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES OREGON
Primary location
4400 NE HALSEY ST, BLDG 2
STE 599
PORTLAND, OR 97213-9721
Phone: (503) 215-2110 Fax:
Mailing address
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone: Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
Jun 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.