Providence Health & Services - Oregon

Organization Active
NPI 1235479643
Sports Medicine (Internal Medicine) Physician Portland, OR

NPI 1235479643 belongs to Providence Health & Services - Oregon, a sports medicine (internal medicine) physician with a practice location in Portland, OR. The NPI was issued on February 21, 2013, and the record was last updated in NPPES on July 4, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Internal Medicine) Physician Primary 207RS0010X Not listed
Internal Medicine Physician 207R00000X Not listed
Clinic/Center 261Q00000X Not listed

Practice location

909 SW 18th Ave
Portland, OR 97205-1705
Phone: (503) 962-1946

Local context

Active NPPES records list 10 providers with sports medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 7 of them within 10 miles.

The same primary taxonomy is listed by 10 in Oregon and 494 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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