Pediatrics, Pediatric Endocrinology
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 Plan acceptance stays unpublished until the practice reports it.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 1457759318 · enumerated 2014-12-09 · record updated 2025-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, Assistant Secretary Enrollments · (425) 358-9786
Other names: PROVIDENCE MEDICAL GROUP, PROVIDENCE PEDIATRIC ENDOCRINOLOGY
Addresses and phones
- Practice location 9427 SW BARNES RD, STE 395, PORTLAND, OR, 97225-6652 (503) 216-6050 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4180, PASADENA, CA, 91110-4180 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Pediatric Infectious Diseases 2080P0208X
- Clinic/Center 261Q00000X
- Pediatrics, Pediatric Endocrinology 2080P0205X · Primary
In this directory
OR Washington County Portland Pediatrics, Pediatric Endocrinology
Locations and evidence
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Practice location
PORTLAND, OR, 972256652
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.