Psychiatry & Neurology, Child & Adolescent Psychiatry
PROVIDENCE HEALTH & SERVICES - OREGON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295105518 · enumerated 2015-09-29 · record updated 2025-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, ASSISTANT SECRETARY ENROLLMENT · (425) 358-9786
Other names: PROVIDENCE MEDICAL GROUP, PROVIDENCE CHILDREN'S DEVELOPMENT INSTITUTE AT CHILD CENTER
Addresses and phones
- Practice location 830 NE 47TH AVE, PORTLAND, OR, 97213-2212 (503) 215-2233 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4180, PASADENA, CA, 91110-4180 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Neurodevelopmental Disabilities 2080P0008X
- Clinic/Center 261Q00000X
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · Primary
In this directory
OR Multnomah County Portland Psychiatry & Neurology, Child & Adolescent Psychiatry
Locations and evidence
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Practice location
PORTLAND, OR, 972132212
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.