{"npi":"1093963209","type":"NPI-2","status":"active","name":{"display":"Providence Health & Services Oregon","other":[],"organization_name":"PROVIDENCE HEALTH & SERVICES OREGON","authorised_official":"Donald Anderson"},"specialty":{"primary_taxonomy":"261QM0850X","primary_taxonomy_description":"Adult Mental Health Clinic/Center","slug":"adult-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"2084P0805X","description":"Geriatric Psychiatry Physician","primary":false,"state":"OR","license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":"OR","license":null},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"OR","license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"OR","license":null},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"OR","license":null},{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5251 NE GLISAN ST","city":"PORTLAND","state":"OR","postal_code":"972133052","country_code":"US","street_2":"BLDG A, 2ND FLOOR","phone":"5032154860"},{"purpose":"MAILING","street_1":"PO BOX 31001 - 4180","city":"PASADENA","state":"CA","postal_code":"911104180","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"500601335","state":"OR","issuer":null},{"type_code":"05","label":"Medicaid","value":"500611962","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-08-29","last_updated":"2026-05-26","_meta":{"source":"NPPES","snapshot_date":"2026-05-26","doc_url":"https://findmynpi.com/api"}}