PROVIDENCE HEALTH & SERVICES-WA – Addiction Medicine (Family Medicine) Physician, NPI 1306097415

PROVIDENCE HEALTH & SERVICES-WA is a healthcare provider. based in Portland, Oregon. specializing in Addiction Medicine (Family Medicine) Physician. The NPI Number for PROVIDENCE HEALTH & SERVICES-WA is 1306097415

Main info

Organization
Name
PROVIDENCE HEALTH & SERVICES-WA
NPI
1306097415
Phone
Not provided
Address
PO BOX 3369
Authorized Official
DONALD WAYNE ANDERSON JR. ASST SECRETARY-ENROLLMENT
Enumeration Date
7 October 2008
Last Update Date
7 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for PROVIDENCE HEALTH & SERVICES-WA

  • 3369, Southwest Garden View Avenue, West Slope, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083369

    Phone:

    Type: Mailing

  • PO BOX 31001-4110

    PASADENA, CA 911104110

    Phone:

    Type: Mailing

  • Providence Regional Medical Center, 916, Pacific Avenue, Everett, Snohomish County, Washington, 98201, United States

    1 SOUTH

    EVERETT, WA 982014147

    Phone: (425) 258-7390

    Fax: (425) 258-7379

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

Is PROVIDENCE HEALTH & SERVICES-WA listed with a National Provider Identifier?
Yes — PROVIDENCE HEALTH & SERVICES-WA has NPI 1306097415 on file in the registry.
Is PROVIDENCE HEALTH & SERVICES-WA still an active registrant?
PROVIDENCE HEALTH & SERVICES-WA carries an active NPI according to the public dataset.
What expertise is attributed to PROVIDENCE HEALTH & SERVICES-WA?
PROVIDENCE HEALTH & SERVICES-WA's specialty line reads Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is PROVIDENCE HEALTH & SERVICES-WA registered?
Use Portland, Oregon as the headline location for PROVIDENCE HEALTH & SERVICES-WA here.
Does PROVIDENCE HEALTH & SERVICES-WA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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